Individual provider Active NPI

Jessica Marie Padula, MS CCC-SLP

  • Speech-Language Pathologist
  • Shrewsbury, MA
National Provider Identifier
1851628226
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7073 Issued in MA
Practice address
364 Boston Turnpike Road
Suite 1a
Shrewsbury, MA 01545-3872
Phone
(508) 757-6981
Fax
(508) 757-0166
NPI assigned
Nov 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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 7073 MA Primary

Addresses

Primary practice location

364 Boston Turnpike Road
Suite 1a
Shrewsbury, MA 01545-3872

Mailing address

364 Boston Turnpike Road
Suite 1a
Shrewsbury, MA 01545-3872
Phone (508) 757-6981

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 Science

State licenses

LicenseStateTypeSpecialty
7073MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech and Language Specialties Inc. 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": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1851628226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 BOSTON TURNPIKE ROAD",
            "address_2": "SUITE 1A",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453872",
            "telephone_number": "508-757-6981",
            "fax_number": "508-757-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 BOSTON TURNPIKE ROAD",
            "address_2": "SUITE 1A",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453872",
            "telephone_number": "508-757-6981",
            "fax_number": "508-757-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADULA",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "7073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.