Jodi Lynn Procida

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL010062 Issued in PA

Practice address

961 1St St
Irwin, PA 15642-9781

Phone

(412) 897-8805

NPI assigned

May 17, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Happy Talk Speech LLC

  • Speech-Language Pathologist
  • Irwin, PA
  • NPI 1063196848
  NPD Authorized official

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1902597180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 1ST ST",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156429781",
            "telephone_number": "412-897-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 1ST ST",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156429781",
            "telephone_number": "412-897-8805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1159 Brownstown Rd",
            "address_purpose": "LOCATION",
            "city": "Larimer",
            "state": "PA",
            "postal_code": "156479704",
            "country_code": "US",
            "telephone_number": "412-897-8805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROCIDA",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Irwin, PA
• Providers in Irwin, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.