NPIMap

Organization Active NPI

Easter Seals Central Alabama

  • Speech-Language Pathologist
  • Montgomery, AL
National Provider Identifier
1720129455
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
EASTER SEALS CENTRAL ALABAMA
Practice address
2125 E South Blvd
Montgomery, AL 36116-2409
Phone
(334) 288-0240
Fax
(334) 288-7171
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Ms. Christy B. Jarrett
Title
Director Business and Finace
Phone
(334) 288-0240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2125 E South Blvd
Montgomery, AL 36116-2409

Mailing address

2125 E South Blvd
Montgomery, AL 36116-2409
Phone (334) 288-0240

Other identifiers 2

IdentifierTypeStateIssuer
51009328OtherALBLUE CROSS BLUE SHIELD
529101030MedicaidAL

Other names 1

  • Easter Seals Central Alabama Rehabilitation Clinic Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1720129455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162409",
            "telephone_number": "334-288-0240",
            "fax_number": "334-288-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162409",
            "telephone_number": "334-288-0240",
            "fax_number": "334-288-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS CENTRAL ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "JARRETT",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DIRECTOR BUSINESS AND FINACE",
        "authorized_official_telephone_number": "334-288-0240",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51009328",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529101030",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easter Seals Central Alabama Rehabilitation Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.