Active NPI
Jessica Bossolina, M.S. CCC SLP
- Speech-Language Pathologist
- Cary, NC
National Provider Identifier
1275978652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS465800
- Practice address
- 110 Corning Rd Ste 10
Cary, NC 27518-9235 - Phone
- (910) 868-6000
- NPI assigned
- Apr 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS465800 | NJ | Primary |
Addresses
Primary practice location
110 Corning Rd Ste 10
Cary, NC 27518-9235
Mailing address
1801 Creekview Dr
Clayton, NC 27520-9182
Phone (908) 477-3868
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS465800 | NJ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1275978652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 CREEKVIEW DR",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275209182",
"telephone_number": "908-477-3868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CORNING RD STE 10",
"city": "CARY",
"state": "NC",
"postal_code": "275189235",
"telephone_number": "910-868-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSSOLINA",
"first_name": "JESSICA",
"credential": "M.S. CCC SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-30",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS465800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.