Jessica Jayne Perrin, M.S., CCC-SLP/NYSL

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

024358 Issued in NY

Practice address

1550 State Route 488
Clifton Springs, NY 14432-9308

Phone

(315) 548-6631

NPI assigned

Dec 2, 2014

Last updated

Feb 11, 2020By 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

Other names 1

• Miss Jessica Jayne Raes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1578960852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 DRUMLIN CT",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 STATE ROUTE 488",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144329308",
            "telephone_number": "315-548-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIN",
        "first_name": "JESSICA",
        "middle_name": "JAYNE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP/NYSL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "024358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "RAES",
            "middle_name": "JAYNE",
            "prefix": "MISS",
            "credential": "M.S., TSSLD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Parsons, COTA
• Nadine Namiko Patrick, REGISTERED NURSE
• William Robert Patterson, RPH
• Nella Helena Peacock, NP
• Joanne Pedersen
• Phelps Clifton Springs Central School District
• Phelps Clifton Springs School District
• Phelps-Clifton Springs Central School District
• Phelps-Clifton Springs Central School District
• Sarah Elizabeth Phillips, PHARMD

• Speech-Language Pathologist in Clifton Springs, NY
• Providers in Clifton Springs, 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 Feb 11, 2020; 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.