Jessica L Swersky, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12110433 Issued in CO

Practice address

490 N Diamond Ave
Canon City, CO 81212-2521

Phone

(719) 275-1616

Fax

(719) 275-4619

NPI assigned

Nov 8, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1346527124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 W 1ST ST",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812011610",
            "telephone_number": "719-275-1616",
            "fax_number": "719-275-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 N DIAMOND AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122521",
            "telephone_number": "719-275-1616",
            "fax_number": "719-275-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWERSKY",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "12110433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Canon City, CO
• Providers in Canon City, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.