Active NPI
Rachel Leah Ballering, M.A., CCC/SLP
- Speech-Language Pathologist
- Beverly, MA
National Provider Identifier
1609016583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7311
- Practice address
- 100 Cummings Ctr Ste 124a
Beverly, MA 01915-6127 - Phone
- (978) 232-0300
- Fax
- (978) 232-0330
- NPI assigned
- Mar 4, 2009
- 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 | 7311 | MA | Primary |
Addresses
Primary practice location
100 Cummings Ctr Ste 124a
Beverly, MA 01915-6127
Mailing address
100 Cummings Ctr Ste 124a
Beverly, MA 01915-6127
Phone (978) 232-0300
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7311 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236124800000",
"number": "1609016583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR STE 124A",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156127",
"telephone_number": "978-232-0300",
"fax_number": "978-232-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR STE 124A",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156127",
"telephone_number": "978-232-0300",
"fax_number": "978-232-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLERING",
"first_name": "RACHEL",
"middle_name": "LEAH",
"credential": "M.A., CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-04",
"last_updated": "2009-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "7311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.