Individual provider Active NPI

Rachel Dupuis, SLP

  • Speech-Language Pathologist
  • Beverly, MA
National Provider Identifier
1407362940
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
100 Cummings Ctr Ste 135C
Beverly, MA 01915-6263
Phone
(978) 473-7300
Fax
(978) 969-0083
NPI assigned
Dec 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

100 Cummings Ctr Ste 135C
Beverly, MA 01915-6263

Mailing address

100 Cummings Ctr Ste 135C
Beverly, MA 01915-6263
Phone (978) 473-7300

Other practice location 1

15 Pacella Park Dr Ste 210
Randolph, MA 02368-1700
Phone (781) 885-1970

Other practice location 2

145 Rosemary St Ste K1
Needham Heights, MA 02494-3259
Phone (781) 400-2482

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Learning Center LLC Speech-Language Pathologist CurrentSince Mar 21, 2022 Accepting new patients
Bierman ABA, Inc. Past Accepting new patients
Aspire Learning Center LLC Speech-Language Pathologist PastSince Nov 8, 2020 Accepting new patients

Locations

100 Cummings Ctr
Ste 135C
Beverly, MA 01915
Phone (978) 473-7300

Organizations & group practices 3

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": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1407362940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 135C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156263",
            "telephone_number": "978-473-7300",
            "fax_number": "978-969-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 135C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156263",
            "telephone_number": "978-473-7300",
            "fax_number": "978-969-0083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Pacella Park Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "MA",
            "postal_code": "023681700",
            "country_code": "US",
            "telephone_number": "781-885-1970",
            "fax_number": "317-815-3861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Rosemary St Ste K1",
            "address_purpose": "LOCATION",
            "city": "Needham Heights",
            "state": "MA",
            "postal_code": "024943259",
            "country_code": "US",
            "telephone_number": "781-400-2482",
            "fax_number": "317-815-3861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPUIS",
        "first_name": "RACHEL",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.