Blue Jellyfish LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

06143 Issued in MD

Legal business name

BLUE JELLYFISH LLC

Practice address

11241 Skilift CT Unit a
Columbia, MD 21044-3094

Phone

(410) 733-1405

NPI assigned

Mar 15, 2017

Last updated

Mar 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Anne Moira Hasting, M.S., CCC-SLPNPI 1548495922

Title

Speech-Language Pathologist

Phone

(410) 733-1405

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anne M Hasting, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Columbia, MD
  • NPI 1548495922
  Authorized official Same address or phone

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1255872834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 TWIN KNOLLS RD STE 325",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453203",
            "telephone_number": "410-733-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11241 SKILIFT CT UNIT A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443094",
            "telephone_number": "410-733-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE JELLYFISH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "HASTING",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "MOIRA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "410-733-1405",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "MD",
            "license": "06143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Columbia, MD by specialty
• Hearing and Speech Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.