Jaclyn A Gelina, SLA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

0090 Issued in NH

Practice address

16 East Rd
Weare, NH 03281-4623

Phone

(603) 529-7555

Fax

(603) 529-0464

NPI assigned

Jan 30, 2021

Last updated

Jan 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boothby Therapy Services, LLC

  • Occupational Therapist
  • Laconia, NH
  • NPI 1770797094
  NPD (past)

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

{
    "created_epoch": "1611964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611964800000",
    "number": "1568053775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 N MAIN ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462603",
            "telephone_number": "603-524-9090",
            "fax_number": "603-524-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 EAST RD",
            "city": "WEARE",
            "state": "NH",
            "postal_code": "032814623",
            "telephone_number": "603-529-7555",
            "fax_number": "603-529-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELINA",
        "first_name": "JACLYN",
        "middle_name": "A",
        "credential": "SLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-30",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NH",
            "license": "0090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylyn Joy Elcock, PA-C
• Cheyenne Mae Ferno
• Andrea Fisher, MS, OTR/L
• Courtney Flaherty
• Kimberly Ann Fortin, MSW
• Home Advantage Physical Therapy
• Sarah Karam, ATC
• Lisa Ann Kazakis, APRN, FNP-BC, PHMNP-
• Lisa Kazakis Aprn, LLC (Birchwood Psychiatry and Wellness)
• Esin Narli, D.M.D.

• Speech-Language Assistant in Weare, NH
• Providers in Weare, NH by specialty
• Speech-Language Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; 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.