Individual provider Active NPI

Gerriann Jackson, CCC-SLP

  • Speech-Language Pathologist
  • Rochester, NY
National Provider Identifier
1659493005
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
016341-1 Issued in NY
Practice address
52 Straub Road
Voiceover Speech Pathology Services
Rochester, NY 14626
Phone
(585) 415-8456
NPI assigned
Apr 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 016341-1 NY Primary

Addresses

Primary practice location

52 Straub Road
Voiceover Speech Pathology Services
Rochester, NY 14626

Mailing address

52 Straub Rd
Rochester, NY 14626-4231
Phone (585) 841-5845

Other names 1

  • Gerriann Jackson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220113002435 NY Practitioner - Qualified Speech Language Pathologist 7012309578 Reassigns benefits to 1 organization
Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Voiceover Speech Pathology Services, PLLCGroup PAC ID 9335581990, 3 clinicians

Practice addresses (Care Compare)

3177 Latta Rd
Suite 217
Rochester, NY 14612-3094
Phone (585) 365-4633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016341-1NYMDSpeech-Language Pathologist
016341NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Voiceover Speech Pathology Services, PLLC Speech-Language Pathologist CurrentSince May 1, 2024 Accepting new patients

Locations

3177 Latta Rd
Ste 217
Rochester, NY 14612
Phone (585) 365-4633

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1659493005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 STRAUB RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264231",
            "telephone_number": "585-841-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 STRAUB ROAD",
            "address_2": "VOICEOVER SPEECH PATHOLOGY SERVICES",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14626",
            "telephone_number": "585-415-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "GERRIANN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-05",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016341-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERRIANN",
            "last_name": "JACKSON",
            "credential": "M.S., CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.