Active NPI
Jessica Haymon
- Speech-Language Pathologist
- New Bern, NC
National Provider Identifier
1811267610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14628
- Practice address
- 2994 Old Airport Rd
New Bern, NC 28562-8738 - Phone
- (252) 672-8680
- Fax
- (252) 638-6989
- NPI assigned
- Jan 10, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP7097 | AZ | |
| Speech-Language Pathologist | 235Z00000X | 14628 | NC | Primary |
Addresses
Primary practice location
2994 Old Airport Rd
New Bern, NC 28562-8738
Mailing address
318 Catamaran Rd
Swansboro, NC 28584-2505
Phone (928) 750-6868
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP7097 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay Junction Inc | Current | Accepting new patients | |
| Crane Schools | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- New Bern, NC
- NPI 1407004989
-
- Local Education Agency (LEA)
- Yuma, AZ
- NPI 1881728814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1811267610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 CATAMARAN RD",
"city": "SWANSBORO",
"state": "NC",
"postal_code": "285842505",
"telephone_number": "928-750-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2994 OLD AIRPORT RD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285628738",
"telephone_number": "252-672-8680",
"fax_number": "252-638-6989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYMON",
"first_name": "JESSICA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-10",
"last_updated": "2021-03-11",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP7097",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "14628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.