Active NPI
Jamie Lynn Rasulo, M.A. CCC-SLP
- Speech-Language Pathologist
- Freeport, NY
National Provider Identifier
1811142813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 016340
- Practice address
- 325 W Merrick Rd
Freeport, NY 11520-3250 - Phone
- (516) 867-5255
- NPI assigned
- Nov 18, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 016340 | NY | Primary |
Addresses
Primary practice location
325 W Merrick Rd
Freeport, NY 11520-3250
Mailing address
325 W Merrick Rd
Freeport, NY 11520-3250
Phone (516) 867-5255
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016340 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1811142813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 W MERRICK RD",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115203250",
"telephone_number": "516-867-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 W MERRICK RD",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115203250",
"telephone_number": "516-867-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASULO",
"first_name": "JAMIE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-18",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "016340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.