Jessica Anne Purver, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

004851-1 Issued in NY

Practice address

11 Champlin Ave
East Islip, NY 11730-2103

Phone

(631) 277-5038

NPI assigned

Jan 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528105665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CHAMPLIN AVENUE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302103",
            "telephone_number": "631-277-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CHAMPLIN AVE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302103",
            "telephone_number": "631-277-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVER",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "004851-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Podiatric and Surgical Wellcare of New York PC
• Emma Gabrielle Press, LMHC
• Diane Preves, M.S., R.D.
• Shoshana Pritzker, RD
• Richard Paul Purslow, LMHC
• Courtney Quinn
• Joyce Ann Racanelli, LCSW
• Mahadeo Rambarran, D.D.S.
• Ramrattie Rambarran, NP
• Edward P Redmond Jr., LCSW

• Speech-Language Pathologist in East Islip, NY
• Providers in East Islip, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.