Individual provider Active NPI

Jane B Defee

  • Speech-Language Pathologist
  • Dublin, GA
National Provider Identifier
1831486729
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP003732 Issued in GA
Practice address
2121B Bellevue Rd
Dublin, GA 31021-2952
Phone
(478) 275-6545
Fax
(478) 275-6575
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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 SLP003732 GA Primary

Addresses

Primary practice location

2121B Bellevue Rd
Dublin, GA 31021-2952

Mailing address

2121B Bellevue Rd
Dublin, GA 31021-2952
Phone (478) 275-6545

Other identifiers 1

IdentifierTypeStateIssuer
000727955BMedicaidGA

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
SLP003732GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Laurens County Board of Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1831486729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121B BELLEVUE RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212952",
            "telephone_number": "478-275-6545",
            "fax_number": "478-275-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121B BELLEVUE RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212952",
            "telephone_number": "478-275-6545",
            "fax_number": "478-275-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFEE",
        "first_name": "JANE",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP003732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000727955B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.