Individual provider Active NPI

Jessica Meyer

  • Speech-Language Pathologist
  • Bloomington, IN
National Provider Identifier
1689051286
Registry record updated May 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
46002652A Issued in IN
Practice address
200 S Jordan Ave
Bloomington, IN 47405-7002
Phone
(812) 855-4202
NPI assigned
May 3, 2015
Last updated
May 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2015

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 46002652A IN Primary

Addresses

Primary practice location

200 S Jordan Ave
Bloomington, IN 47405-7002

Mailing address

200 S Jordan Ave
Bloomington, IN 47405-7002

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

LicenseStateTypeSpecialty
46002652AINMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: jessica.meyer.p1@direct.cwpw.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1430611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430611200000",
    "number": "1689051286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S JORDAN AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474057002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S JORDAN AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474057002",
            "telephone_number": "812-855-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-03",
        "last_updated": "2015-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46002652A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.