Active NPI
Carol James, SPEECH/LANGUAGE PATH
- Speech-Language Pathologist
- Jackson, MS
National Provider Identifier
1356539928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S2033
- Practice address
- 733 N Flag Chapel Rd
Magnolia Speech School
Jackson, MS 39209-2206 - Phone
- (601) 922-5530
- Fax
- (601) 922-5534
- NPI assigned
- Oct 9, 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 | S2033 | MS | Primary |
Addresses
Primary practice location
733 N Flag Chapel Rd
Magnolia Speech School
Jackson, MS 39209-2206
Mailing address
733 N Flag Chapel Rd
Magnolia Speech School
Jackson, MS 39209-2206
Phone (601) 922-5530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04124004 | Medicaid | MS |
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 |
|---|---|---|---|
| S2033 | MS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Speech School | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1356539928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 N FLAG CHAPEL RD",
"address_2": "MAGNOLIA SPEECH SCHOOL",
"city": "JACKSON",
"state": "MS",
"postal_code": "392092206",
"telephone_number": "601-922-5530",
"fax_number": "601-922-5534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 N FLAG CHAPEL RD",
"address_2": "MAGNOLIA SPEECH SCHOOL",
"city": "JACKSON",
"state": "MS",
"postal_code": "392092206",
"telephone_number": "601-922-5530",
"fax_number": "601-922-5534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "CAROL",
"credential": "SPEECH/LANGUAGE PATH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S2033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04124004",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.