Jacquelyn Kay Hoffer

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL010205 Issued in PA

Practice address

59 Brickyard Rd
Freeland, PA 18224-3204

Phone

(570) 436-0435

NPI assigned

Jul 24, 2020

Last updated

Jul 24, 2020By the provider in NPPES

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

• Miss Jacquelyn Kay Hargraves Former name

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": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1386253573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 BRICKYARD RD",
            "city": "FREELAND",
            "state": "PA",
            "postal_code": "182243204",
            "telephone_number": "570-436-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 BRICKYARD RD",
            "city": "FREELAND",
            "state": "PA",
            "postal_code": "182243204",
            "telephone_number": "570-436-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFER",
        "first_name": "JACQUELYN",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "HARGRAVES",
            "middle_name": "KAY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsey Marie Dempsey
• Joseph Anthony Donato, D.M.D.
• Farideh Farhi, M.D.
• Freeland Eye Associates
• Freeland Northside Community Ambulance Association
• Janos Pharmacy Enterprise Inc (Greco Apothecary)
• Micahel Angelo Lacey, RPH
• Cynthia Maczuga, M.D.
• Deborah A. Maier, O.T.R.
• Matthew John Makuta, D.M.D.

• Speech-Language Pathologist in Freeland, PA
• Providers in Freeland, 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 Jul 24, 2020; 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.