Active NPI
Jeanie Makie, MS,CCC,SLP
- Speech-Language Pathologist
- Melrose, MA
National Provider Identifier
1639377377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2414
- Practice address
- 78 Frost Ave
Melrose, MA 02176-1315 - Phone
- (781) 929-6849
- NPI assigned
- Jul 3, 2007
- Last updated
- Jan 23, 2018
- 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 | 2414 | MA | Primary |
Addresses
Primary practice location
78 Frost Ave
Melrose, MA 02176-1315
Mailing address
78 Frost Ave
Melrose, MA 02176-1315
Phone (781) 929-6849
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2414 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1639377377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 FROST AVE",
"city": "MELROSE",
"state": "MA",
"postal_code": "021761315",
"telephone_number": "781-929-6849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 FROST AVE",
"city": "MELROSE",
"state": "MA",
"postal_code": "021761315",
"telephone_number": "781-929-6849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKIE",
"first_name": "JEANIE",
"credential": "MS,CCC,SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "2414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melrose, MA
- Grace Erin Maguire
- Mahant Enterprises LLC (Green Street Pharmacy)
- Hossam M Mahmoud, M.D.
- Main Street Family Practice PC
- Rachel Major, PT, DPT
- Sarah Marchionne
- Mark Berenson, MD PC (Access Orthopedics)
- Mark Deyab Licsw Inc
- Mass General Brigham Community Physicians Inc. (Middlesex Cardiology Associates)
- Massachusetts Acute Care Specialists PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.