Individual provider Active NPI

Jessica Meyer Trostel

  • Speech-Language Pathologist
  • Duxbury, MA
National Provider Identifier
1447010285
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5603 Issued in MA
Practice address
290 Kingstown Way
Duxbury, MA 02332-4635
Phone
(508) 254-2316
NPI assigned
Mar 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 5603 MA Primary

Addresses

Primary practice location

290 Kingstown Way
Duxbury, MA 02332-4635

Mailing address

74 Sweeney LN
Plymouth, MA 02360-6868
Phone (508) 254-2316

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5603MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Mar 20, 2024 Accepting new patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Mar 20, 2024 Accepting new patients

Locations

2701 Chestnut Station Ct
Louisville, KY 40299
Phone (502) 964-5359

303 N Hurstbourne Pkwy
Ste 200
Louisville, KY 40222
Phone (502) 213-7572

65 Briarwood Cir
Worcester, MA 01606
Phone (413) 304-2747

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": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1447010285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 SWEENEY LN",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023606868",
            "telephone_number": "508-254-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 KINGSTOWN WAY",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324635",
            "telephone_number": "508-254-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROSTEL",
        "first_name": "JESSICA",
        "middle_name": "MEYER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "5603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.