Jessica Lynn Bako

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL009281 Issued in PA

Practice address

109 Jeffrey Dr
Johnstown, PA 15905-1323

Phone

(814) 279-0461

NPI assigned

Sep 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Lynn Novak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1346618261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 JEFFREY DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159051323",
            "telephone_number": "814-279-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 JEFFREY DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159051323",
            "telephone_number": "814-279-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKO",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "NOVAK",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meghna Babu
• Thomas J Bach, DMD
• Heather D Bailey
• Hopeton Bailey Jr., CGP, CAGCS, CCTP, NC
• Ryan Bailey, DO
• Kimberly Lee Balamuta, R.N.
• Joseph Andrew Balaschak, DMD
• Henry Baldinucci, MD
• Alexis Ann Baldwin
• Jennifer Anne Balon, MSN, CRNP

• Speech-Language Pathologist in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.