Jessica Renee Fegley

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL009035 Issued in PA

Practice address

36 Creekside Dr
Elizabethtown, PA 17022-9230

Phone

(717) 695-1387

NPI assigned

Jan 7, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Central PA Therapy Connections, LLC

  • Speech-Language Pathologist
  • Elizabethtown, PA
  • NPI 1851781801

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1497228993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6348 KNAPP DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171114583",
            "telephone_number": "717-580-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CREEKSIDE DR",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170229230",
            "telephone_number": "717-695-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEGLEY",
        "first_name": "JESSICA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Fanjoy, LPC, CAADC, CCS
• Ashley Farabaugh
• Madison Nicole Faulkner, DPT
• Dina E Faus, OTR/L
• Marlene C Faus, PA-C
• Gabriella Ferrufino
• Monica Janelle Fisher, COTA/L
• Irwin H Forman
• Jessica Ann Fox, PA
• Michael Thomas Fox, PHARMD

• Speech-Language Pathologist in Elizabethtown, PA
• Providers in Elizabethtown, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.