Active NPI
Jessica Gelles, M.S./CCC-SLP
- Speech-Language Pathologist
- Concord, MA
National Provider Identifier
1679734131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6554
- Practice address
- 80 Deaconess Rd
Concord, MA 01742-4168 - Phone
- (978) 369-5151
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 6554 | MA | Primary |
Addresses
Primary practice location
80 Deaconess Rd
Concord, MA 01742-4168
Mailing address
3 Retrop Rd
Natick, MA 01760-3606
Other names 1
- Jessica Denino
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380844800000",
"number": "1679734131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 RETROP RD",
"city": "NATICK",
"state": "MA",
"postal_code": "017603606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 DEACONESS RD",
"city": "CONCORD",
"state": "MA",
"postal_code": "017424168",
"telephone_number": "978-369-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLES",
"first_name": "JESSICA",
"name_prefix": "Miss",
"credential": "M.S./CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2013-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "6554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "DENINO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.