Active NPI
Jessica Elaine Wu, MS CCC-SLP
- Speech-Language Pathologist
- Lowell, MA
National Provider Identifier
1538475678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8001
- Practice address
- 30 Princeton Blvd
Lowell, MA 01851-2405 - Phone
- (978) 454-8086
- NPI assigned
- Aug 26, 2010
- 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 | 8001 | MA | Primary |
Addresses
Primary practice location
30 Princeton Blvd
Lowell, MA 01851-2405
Mailing address
30 Princeton Blvd
Lowell, MA 01851-2405
Phone (978) 454-8086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8001 | Other | MA | BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY |
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 |
|---|---|---|---|
| 8001 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1538475678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 PRINCETON BLVD",
"city": "LOWELL",
"state": "MA",
"postal_code": "018512405",
"telephone_number": "978-454-8086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PRINCETON BLVD",
"city": "LOWELL",
"state": "MA",
"postal_code": "018512405",
"telephone_number": "978-454-8086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "JESSICA",
"middle_name": "ELAINE",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-26",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "8001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY",
"identifier": "8001",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.