Active NPI
Jennifer Pyles, MS. CCC-SLP
- Speech-Language Pathologist
- Portsmouth, OH
National Provider Identifier
1447655832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP10232
- Practice address
- 2619 Gallia St
Portsmouth, OH 45662-4805 - Phone
- (740) 353-1876
- NPI assigned
- Oct 28, 2014
- 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 | SP10232 | OH | Primary |
Addresses
Primary practice location
2619 Gallia St
Portsmouth, OH 45662-4805
Mailing address
8363 Hayport Rd
Wheelersburg, OH 45694-1734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OH2178724 | Other | OH | PROFESSIONAL LICENSE |
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 |
|---|---|---|---|
| SP10232 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1447655832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8363 HAYPORT RD",
"city": "WHEELERSBURG",
"state": "OH",
"postal_code": "456941734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2619 GALLIA ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456624805",
"telephone_number": "740-353-1876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYLES",
"first_name": "JENNIFER",
"credential": "MS. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-28",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP10232",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "OH2178724",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.