Active NPI
Jessica Bergeron, CCC-SLP
- Speech-Language Pathologist
- Litchfield, NH
National Provider Identifier
1417324096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0888
- Practice address
- 69 Charles Bancroft Hwy
Litchfield, NH 03052-2600 - Phone
- (603) 889-3451
- NPI assigned
- Aug 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 0888 | NH | Primary |
Addresses
Primary practice location
69 Charles Bancroft Hwy
Litchfield, NH 03052-2600
Mailing address
69 Charles Bancroft Hwy
Litchfield, NH 03052-2600
Phone (603) 889-3451
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 |
|---|---|---|---|
| 0888 | NH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440892800000",
"number": "1417324096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 CHARLES BANCROFT HWY",
"city": "LITCHFIELD",
"state": "NH",
"postal_code": "030522600",
"telephone_number": "603-889-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 CHARLES BANCROFT HWY",
"city": "LITCHFIELD",
"state": "NH",
"postal_code": "030522600",
"telephone_number": "603-889-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGERON",
"first_name": "JESSICA",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-30",
"last_updated": "2015-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NH",
"license": "0888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Litchfield, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.