Jessica Wheeler Nations, M.S. CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Slaughter, LA

NPI 1902190358 · NPPES record last updated Jun 8, 2011

Key facts

NPI
1902190358
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
5949 (LA)
Practice address
152 Lemon B Rd
Slaughter, LA 70777-3600
Phone
(225) 505-0151
NPI assigned
Jun 2, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5949LAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5949 LA Yes

Addresses

Primary practice location

152 Lemon B Rd
Slaughter, LA 70777-3600

Mailing address

152 Lemon B Rd
Slaughter, LA 70777-3600
Phone (225) 505-0151

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 8, 2011.

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1902190358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 LEMON B RD",
            "city": "SLAUGHTER",
            "state": "LA",
            "postal_code": "707773600",
            "telephone_number": "225-505-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 LEMON B RD",
            "city": "SLAUGHTER",
            "state": "LA",
            "postal_code": "707773600",
            "telephone_number": "225-505-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATIONS",
        "first_name": "JESSICA",
        "middle_name": "WHEELER",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "5949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slaughter, LA

All providers in Slaughter, LA · Speech-Language Pathologist in Louisiana

Sources for this page

Verify at the official NPI Registry.