Individual provider Active NPI

Margaret Jane Firestone, SLP

  • Speech-Language Pathologist
  • Bend, OR
National Provider Identifier
1356767149
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
012058 Issued in OR
Practice address
61198 Hilmer Creek Dr
Bend, OR 97702-2326
Phone
(541) 241-4217
Fax
(544) 130-6455
NPI assigned
Mar 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 012058 OR Primary
Hearing and Speech Clinic/Center 261QH0700X 12058 OR

Addresses

Primary practice location

61198 Hilmer Creek Dr
Bend, OR 97702-2326

Mailing address

61198 Hilmer Creek Dr
Bend, OR 97702-2326
Phone (541) 241-4217

Other names 1

  • M Jane Firestone Professional name

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

LicenseStateTypeSpecialty
012058ORMDSpeech-Language Pathologist
12058ORMDHearing and Speech Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1356767149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61198 HILMER CREEK DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022326",
            "telephone_number": "541-241-4217",
            "fax_number": "541-306-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61198 HILMER CREEK DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022326",
            "telephone_number": "541-241-4217",
            "fax_number": "544-130-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRESTONE",
        "first_name": "MARGARET",
        "middle_name": "JANE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "012058",
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "OR",
            "license": "12058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "FIRESTONE",
            "middle_name": "JANE",
            "credential": "SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.