Individual provider Active NPI

Jaryl Ann Sciarappa

  • Speech-Language Pathologist
  • East Providence, RI
National Provider Identifier
1851410518
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SPOO833 Issued in RI
Practice address
1275 S Broadway
East Providence, RI 02914-4932
Phone
(401) 438-7020
Fax
(401) 789-4104
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SPOO833 RI Primary
Speech-Language Pathologist 235Z00000X 003447 CT
Speech-Language Pathologist 235Z00000X 2425 MA

Addresses

Primary practice location

1275 S Broadway
East Providence, RI 02914-4932

Mailing address

40 Woodridge Rd
Narragansett, RI 02882-2741
Phone (401) 783-6765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171205002405 RI Practitioner - Qualified Speech Language Pathologist 6608133376 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2425MAMDPediatric Physical Therapist
003447CTMDSpeech-Language Pathologist
SPOO833RIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab of Ri PC Speech-Language Pathologist CurrentSince Oct 16, 2017 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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851410518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WOODRIDGE RD",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028822741",
            "telephone_number": "401-783-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 S BROADWAY",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029144932",
            "telephone_number": "401-438-7020",
            "fax_number": "401-789-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIARAPPA",
        "first_name": "JARYL",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "SPOO833",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "003447",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "2425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.