Individual provider Active NPI

Jennifer L Freeburn, MS CCC-SLP

  • Speech-Language Pathologist
  • Boston, MA
National Provider Identifier
1205492378
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14071279 Issued in MA
Practice address
275 Cambridge St FL 3
Boston, MA 02114-3108
Phone
(617) 724-0791
NPI assigned
May 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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 14071279 MA Primary

Addresses

Primary practice location

275 Cambridge St FL 3
Boston, MA 02114-3108

Mailing address

26 Claremon St Apt 3
Somerville, MA 02144-2406
Phone (508) 981-6099

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 Science

State licenses

LicenseStateTypeSpecialty
14071279MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Beauty and Health Acupuncture Past Accepting new patients

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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1205492378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CLAREMON ST APT 3",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442406",
            "telephone_number": "508-981-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CAMBRIDGE ST FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143108",
            "telephone_number": "617-724-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEBURN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "14071279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.