Individual provider Active NPI

Jolayne Rush Mathers, SLP

  • Speech-Language Pathologist
  • Presque Isle, ME
National Provider Identifier
1437464740
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP140 Issued in ME
Practice address
79 Blake St
Suite 1
Presque Isle, ME 04769-2474
Phone
(207) 764-3036
Fax
(207) 768-3445
NPI assigned
Aug 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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 SP140 ME Primary

Addresses

Primary practice location

79 Blake St
Suite 1
Presque Isle, ME 04769-2474

Mailing address

79 Blake St
Suite 1
Presque Isle, ME 04769-2474
Phone (207) 764-3036

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
SP140MEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Msad1 Past Accepting new patients
Msad01 Past Accepting new patients

Organizations & group practices 2

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": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1437464740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 BLAKE ST",
            "address_2": "SUITE 1",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692474",
            "telephone_number": "207-764-3036",
            "fax_number": "207-768-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 BLAKE ST",
            "address_2": "SUITE 1",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692474",
            "telephone_number": "207-764-3036",
            "fax_number": "207-768-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHERS",
        "first_name": "JOLAYNE",
        "middle_name": "RUSH",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.