Jacquelyn Laurel Bosworth

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

025530 Issued in NY

Practice address

84 Greenwood St
Canisteo, NY 14823-1230

Phone

(716) 307-5322

NPI assigned

Mar 14, 2016

Last updated

Mar 14, 2016By the provider in NPPES

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

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1912368291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 VINCENT ST",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431840",
            "telephone_number": "716-307-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 GREENWOOD ST",
            "city": "CANISTEO",
            "state": "NY",
            "postal_code": "148231230",
            "telephone_number": "716-307-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWORTH",
        "first_name": "JACQUELYN",
        "middle_name": "LAUREL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Nancy Backer, LPN
• Devan Bertch, PTA
• Tiffany Michele Beyea
• Traci A Blake, RN
• Michelle L Brown, REGISTERED NURSE
• Carrie Lynne Button, OTR/L
• Canisteo-Greenwood Central School
• Leanna Michelle Farnham, RN
• Lisa Goho

• Speech-Language Pathologist in Canisteo, NY
• Providers in Canisteo, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.