Individual provider Active NPI

Jessica London, CCC-SLP

  • Speech-Language Pathologist
  • Erie, PA
National Provider Identifier
1386308823
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL016053 Issued in NU
Practice address
100 Barber PL
Erie, PA 16507-1863
Phone
(814) 453-7661
NPI assigned
Oct 29, 2021
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL016053 NU Primary

Addresses

Primary practice location

100 Barber PL
Erie, PA 16507-1863

Mailing address

100 Barber PL
Erie, PA 16507-1863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221116002334 PA Practitioner - Qualified Speech Language Pathologist 6507234960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Niagara Therapy LLCGroup PAC ID 9234282443, 15 clinicians

Practice addresses (Care Compare)

2631 W 8TH St
Erie, PA 16505-4034
Phone (814) 464-0627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Gertrude a Barber Center Inc Speech-Language Pathologist CurrentSince Oct 31, 2021 Accepting new patients
Christine Barr CurrentSince Oct 31, 2021 Accepting new patients
Niagara Therapy L.L.C. CurrentSince Aug 2, 2022 Accepting new patients
Niagara Therapy, LLC PastSince Aug 2, 2022 Accepting new patients

Locations

100 Barber Pl
Erie, PA 16507
Phone (814) 453-7661

2631 W 8th St
Erie, PA 16505
Phone (814) 464-0627

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/barberinstitute/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1386308823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BARBER PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BARBER PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071863",
            "telephone_number": "814-453-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDON",
        "first_name": "JESSICA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": "SL016053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.