Individual provider Active NPI

Jacqueline Suzanne Rowland, M.ED, MS CCC-SLP

  • Speech-Language Pathologist
  • Philadelphia, PA
National Provider Identifier
1710404140
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14050926 Issued in PA
Practice address
4400 Baltimore Ave
Philadelphia, PA 19104-4440
Phone
(267) 994-4645
NPI assigned
Aug 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 14050926 PA Primary

Addresses

Primary practice location

4400 Baltimore Ave
Philadelphia, PA 19104-4440

Mailing address

40 Ravine LN
Levittown, PA 19055-1417
Phone (267) 994-4645

Other practice location 1

8360 Old York Rd
Elkins Park, PA 19027-1576
Phone (267) 994-4645

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 Education, Master of Science

State licenses

LicenseStateTypeSpecialty
14050926PAMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: jacqueline.rowland.p1@direct.salusuhealth.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1710404140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 RAVINE LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190551417",
            "telephone_number": "267-994-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BALTIMORE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044440",
            "telephone_number": "267-994-4645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8360 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Elkins Park",
            "state": "PA",
            "postal_code": "190271576",
            "country_code": "US",
            "telephone_number": "267-994-4645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWLAND",
        "first_name": "JACQUELINE",
        "middle_name": "SUZANNE",
        "credential": "M.ED, MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "14050926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.