Jasmine L. Eaglin, M.S., CCC-SLP, TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

03079101 Issued in NY

Practice address

114-36 202ND Street
Mini Building
St. Albans, NY 11412

Phone

(718) 776-4500

NPI assigned

Aug 31, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1205504735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11616 224TH ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111702",
            "telephone_number": "917-805-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114-36 202ND STREET",
            "address_2": "MINI BUILDING",
            "city": "ST. ALBANS",
            "state": "NY",
            "postal_code": "11412",
            "telephone_number": "718-776-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLIN",
        "first_name": "JASMINE",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "03079101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kecha L. Drysdale-Bernard
• Diana Duncan
• Angela Dungee-Farley, KINESIOTHERAPIST
• Dwayne E. Rollins, MD, PC
• Colette Dwyer
• Natalie A Ebanks, LPN
• Elena Edelman, OTR//L
• Rudyne Edouard
• Natasha A Elder, LMSW
• Eliteorthocare LLC

• Speech-Language Pathologist in St. Albans, NY
• Providers in St. Albans, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.