Active NPI
Jessie Marie Schares
- Speech-Language Pathologist
- Cumming, GA
National Provider Identifier
1356523138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP006719
- Practice address
- 5975 Parkway Village Suite 300B
Cumming, GA 30040-9782 - Phone
- (770) 205-5551
- NPI assigned
- Dec 3, 2007
- Sex
- Female
- Sole proprietor
- No
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 | SLP006719 | GA | Primary |
Addresses
Primary practice location
5975 Parkway Village Suite 300B
Cumming, GA 30040-9782
Mailing address
5975 Parkway Village Suite 300B
Cumming, GA 30040-9782
Phone (770) 205-5551
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP006719 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1356523138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5975 PARKWAY VILLAGE SUITE 300B",
"city": "CUMMING",
"state": "GA",
"postal_code": "300409782",
"telephone_number": "770-205-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5975 PARKWAY VILLAGE SUITE 300B",
"city": "CUMMING",
"state": "GA",
"postal_code": "300409782",
"telephone_number": "770-205-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHARES",
"first_name": "JESSIE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP006719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.