Individual provider Active NPI

Jo-Ann P Mulligan, M.ED.

  • Speech-Language Pathologist
  • Manchester, NH
National Provider Identifier
1205458338
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1992 Issued in NH
Practice address
20 Hecker St
Manchester, NH 03102-3975
Phone
(603) 624-6300
NPI assigned
May 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1992 NH Primary

Addresses

Primary practice location

20 Hecker St
Manchester, NH 03102-3975

Mailing address

14 Chestnut CT
Concord, NH 03301-3114
Phone (603) 568-6629

Other practice location 1

400 Riverpark Dr Ste 100
North Reading, MA 01864-2639
Phone (603) 624-6312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Manchester School District CurrentSince May 17, 2020 Accepting new patients

Locations

20 Hecker St
Manchester, NH 03102
Phone (603) 624-6300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1205458338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CHESTNUT CT",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013114",
            "telephone_number": "603-568-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HECKER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023975",
            "telephone_number": "603-624-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Riverpark Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Reading",
            "state": "MA",
            "postal_code": "018642639",
            "country_code": "US",
            "telephone_number": "603-624-6312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "JO-ANN",
        "middle_name": "P",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.