Active NPI
Jessica Carey
- Speech-Language Assistant
- Lewiston, ME
National Provider Identifier
1649575374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SAS1860
- Practice address
- 5 Gendron Dr
Lewiston, ME 04240-1048 - Phone
- (207) 512-0729
- NPI assigned
- Jan 11, 2011
- 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 Assistant | 2355S0801X | SAS1860 | ME | Primary |
Addresses
Primary practice location
5 Gendron Dr
Lewiston, ME 04240-1048
Mailing address
5 Gendron Dr
Lewiston, ME 04240-1048
Phone (207) 512-0729
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 |
|---|---|---|---|
| SAS1860 | ME | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1649575374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 GENDRON DR",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042401048",
"telephone_number": "207-512-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 GENDRON DR",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042401048",
"telephone_number": "207-512-0729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-11",
"last_updated": "2023-08-29",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "ME",
"license": "SAS1860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.