Active NPI
Josephine Pillow Duke, MS,CCC-SLP
- Speech-Language Pathologist
- Jackson, MS
National Provider Identifier
1487806899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S1190
- Practice address
- 777 Lakeland Dr
Jackson, MS 39216-4611 - Phone
- (601) 815-3049
- Fax
- (601) 984-4138
- NPI assigned
- Oct 16, 2008
- Sex
- Female
- Sole proprietor
- No
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 | S1190 | MS | Primary |
Addresses
Primary practice location
777 Lakeland Dr
Jackson, MS 39216-4611
Mailing address
777 Lakeland Dr
Jackson, MS 39216-4611
Phone (601) 815-3049
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1190 | MS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1487806899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 LAKELAND DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164611",
"telephone_number": "601-815-3049",
"fax_number": "601-984-4138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 LAKELAND DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164611",
"telephone_number": "601-815-3049",
"fax_number": "601-984-4138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKE",
"first_name": "JOSEPHINE",
"middle_name": "PILLOW",
"name_prefix": "Miss",
"credential": "MS,CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-16",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S1190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.