Sara Jesse

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10550 Issued in MD

Practice address

323 Williams St
Suite C
Bel Air, MD 21014

Phone

(443) 567-6611

Fax

(443) 371-9891

NPI assigned

Mar 2, 2023

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Walden Speech Therapy

  • Speech-Language Pathologist
  • Bel Air, MD
  • NPI 1629618939
  NPD

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1225737802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 WILLIAMS ST APT C",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 WILLIAMS ST",
            "address_2": "SUITE C",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "443-567-6611",
            "fax_number": "443-371-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSE",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "10550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keisha Jennings-Eakin, OT
• Maria Ditas Vina Jennings, P.T.
• Sallyann Jennings, MS RN CS P
• Christina Jensema, PSY.D.
• Linda Marie Jensen
• Jet-Ips Inc
• Jill Moore LLC
• Jill Moore LLC
• Jodi Wayne, LCSW-C, LLC
• Lauren Joeckel, MA, LCPC, CRC, ICADC

• All providers in Bel Air, MD
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.