Active NPI
Jenna Marie Easton
- Speech-Language Pathologist
- Greenville, NC
National Provider Identifier
1629599352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1710182
- Practice address
- 1540 East Arlington Blvd
Greenville, NC 27858 - Phone
- (252) 364-2806
- Fax
- (252) 364-2863
- NPI assigned
- Jul 3, 2017
- 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 | 1710182 | NC | Primary |
Addresses
Primary practice location
1540 East Arlington Blvd
Greenville, NC 27858
Mailing address
1540 E Arlington Blvd
Greenville, NC 27858-5870
Phone (252) 364-2806
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1710182 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1629599352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 E ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585870",
"telephone_number": "252-364-2806",
"fax_number": "252-364-2863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 EAST ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27858",
"telephone_number": "252-364-2806",
"fax_number": "252-364-2863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTON",
"first_name": "JENNA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "1710182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.