Individual provider Active NPI

Jessica May

  • Speech-Language Pathologist
  • Madison, MS
National Provider Identifier
1851747729
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S4417 Issued in MS
Practice address
401 Baptist Dr Ste 306
Madison, MS 39110-2012
Phone
(601) 607-7204
Fax
(601) 607-7430
NPI assigned
May 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP 10215 OH
Speech-Language Pathologist 235Z00000X S4417 MS Primary

Addresses

Primary practice location

401 Baptist Dr Ste 306
Madison, MS 39110-2012

Mailing address

PO Box 2153 Dept 1947
Birmingham, AL 35287-0001

Other practice location 1

1200 N State St Ste 210
Jackson, MS 39202-2000
Phone (601) 714-3202

Other practice location 2

4301 Lakeland Dr
Flowood, MS 39232-8947
Phone (601) 939-7010

Other practice location 3

108 Clinton Pkwy
Clinton, MS 39056-4730
Phone (601) 926-2018

Other practice location 4

7273 S Siwell Rd
Byram, MS 39272-9767
Phone (601) 372-8223

Other practice location 5

6250 Old Canton Rd Ste 130
Jackson, MS 39211-2946
Phone (601) 956-7280

Other practice location 6

746 E Fifteenth St
Yazoo City, MS 39194-2706
Phone (662) 746-4032

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP 10215OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1851747729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2153 DEPT 1947",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352870001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BAPTIST DR STE 306",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102012",
            "telephone_number": "601-607-7204",
            "fax_number": "601-607-7430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N State St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022000",
            "country_code": "US",
            "telephone_number": "601-714-3202",
            "fax_number": "601-714-3416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392328947",
            "country_code": "US",
            "telephone_number": "601-939-7010",
            "fax_number": "601-939-3332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Clinton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MS",
            "postal_code": "390564730",
            "country_code": "US",
            "telephone_number": "601-926-2018",
            "fax_number": "601-924-9746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7273 S Siwell Rd",
            "address_purpose": "LOCATION",
            "city": "Byram",
            "state": "MS",
            "postal_code": "392729767",
            "country_code": "US",
            "telephone_number": "601-372-8223",
            "fax_number": "601-372-8125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6250 Old Canton Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392112946",
            "country_code": "US",
            "telephone_number": "601-956-7280",
            "fax_number": "601-977-6244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "746 E Fifteenth St",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391942706",
            "country_code": "US",
            "telephone_number": "662-746-4032",
            "fax_number": "662-764-0967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAY",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP 10215",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S4417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.