Active NPI
Jessica Dawn Wessberg
- Speech-Language Pathologist
- Poughkeepsie, NY
National Provider Identifier
1912664483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 031334
- Practice address
- 115 Delafield St
Poughkeepsie, NY 12601-1749 - Phone
- (845) 431-8800
- NPI assigned
- Nov 19, 2021
- 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 | 031334 | NY | Primary |
Addresses
Primary practice location
115 Delafield St
Poughkeepsie, NY 12601-1749
Mailing address
1028 Route 376
Wappingers Falls, NY 12590-6353
Phone (845) 926-7347
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031334 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1912664483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 ROUTE 376",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125906353",
"telephone_number": "845-926-7347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 DELAFIELD ST",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011749",
"telephone_number": "845-431-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESSBERG",
"first_name": "JESSICA",
"middle_name": "DAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-19",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "031334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
- Kathryn Wells, DO
- Corrie A Welsh, LMSW
- Bonifacio Wenceslao Jr., PT
- Kathleen Wertheim, RN
- Vanessa Wesley, LPN
- Westchester County Health Care Corporation
- Westchester County Health Care Corporation
- Westchester County Health Care Corporation
- Westchester County Health Care Corporation
- Westchester Medical Regional Physician Services, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.