Active NPI
Cassandra Josephine Ikemura, M.S. SLP
- Speech-Language Pathologist
- Brunswick, ME
National Provider Identifier
1891048203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP2413
- Practice address
- 123 Medical Center Dr
Brunswick, ME 04011-2652 - Phone
- (207) 373-6000
- NPI assigned
- Oct 23, 2012
- Last updated
- Mar 7, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP2413 | ME | Primary |
Addresses
Primary practice location
123 Medical Center Dr
Brunswick, ME 04011-2652
Mailing address
123 Medical Center Dr
Brunswick, ME 04011-2652
Phone (207) 373-6000
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP2413 | ME | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457308800000",
"number": "1891048203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 MEDICAL CENTER DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112652",
"telephone_number": "207-373-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 MEDICAL CENTER DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112652",
"telephone_number": "207-373-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKEMURA",
"first_name": "CASSANDRA",
"middle_name": "JOSEPHINE",
"name_prefix": "Ms.",
"credential": "M.S. SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-23",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP2413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.