Individual provider Active NPI

Ann Michelle Jespersen, SLP

  • Speech-Language Assistant
  • Fredericksburg, VA
National Provider Identifier
1548601628
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
2202007034 Issued in VA
Practice address
2300 Fall Hill Ave
Suite 515
Fredericksburg, VA 22401-3342
Phone
(540) 741-0544
Fax
(540) 741-0546
NPI assigned
Jul 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 2202007034 VA Primary

Addresses

Primary practice location

2300 Fall Hill Ave
Suite 515
Fredericksburg, VA 22401-3342

Mailing address

321 Park Hill Dr
Fredericksburg, VA 22401-3375
Phone (540) 446-2654

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

LicenseStateTypeSpecialty
2202007034VAMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1548601628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 PARK HILL DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013375",
            "telephone_number": "540-446-2654",
            "fax_number": "540-656-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 FALL HILL AVE",
            "address_2": "SUITE 515",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013342",
            "telephone_number": "540-741-0544",
            "fax_number": "540-741-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESPERSEN",
        "first_name": "ANN",
        "middle_name": "MICHELLE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "VA",
            "license": "2202007034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.