Hillside Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

HILLSIDE SPEECH THERAPY

Practice address

67 Fox LN
Eddington, ME 04428-3104

Phone

(207) 218-2116

Fax

(207) 466-1029

NPI assigned

Apr 26, 2021

Last updated

Apr 26, 2021By 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

Jodi Evenson, CCC-SLPNPI 1518422898

Title

Speech Pathologist, Owner

Phone

(207) 218-2116

Specialties & licenses 1

Addresses

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.

• Jodi L Evenson, CCC-SLP

  • Speech-Language Pathologist
  • Eddington, ME
  • NPI 1518422898
  NPD Authorized official

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1285216515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 FOX LN",
            "city": "EDDINGTON",
            "state": "ME",
            "postal_code": "044283104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 FOX LN",
            "city": "EDDINGTON",
            "state": "ME",
            "postal_code": "044283104",
            "telephone_number": "207-218-2116",
            "fax_number": "207-466-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "EVENSON",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST, OWNER",
        "authorized_official_telephone_number": "207-218-2116",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cassidy Cox, RN
• Jodi L Evenson, CCC-SLP
• Vanessa Haines
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• Linda J Morse
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• Speech-Language Pathologist in Eddington, ME
• Providers in Eddington, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.