Ebony L. Jasper

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP004108 Issued in GA

Practice address

1432 Penhurst Dr
Lawrenceville, GA 30043-8165

Phone

(678) 830-6632

Fax

(678) 830-6632

NPI assigned

Feb 15, 2018

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

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.

• Therapedia, LLC

  • Speech-Language Pathologist
  • Lawrenceville, GA
  • NPI 1669959847
  NPD (past) Authorized official

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1922508050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 PENHURST DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438165",
            "telephone_number": "678-830-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 PENHURST DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438165",
            "telephone_number": "678-830-6632",
            "fax_number": "678-830-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASPER",
        "first_name": "EBONY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Janssen, MS, CRC, NCC, APC
• Julie McGee Jaques, CCC-SLP
• Cindy Jaramillo, PARAMEDICAL TATTOO
• Jas Links Health Care Services and Medical Supply
• Rajesh R Jasani, MD
• Sherria Trenice Jasper, FNP
• Jayanti Jasti, M.D.,
• Omobola Jawo
• Lucile Jean-Gilles
• Marc Andre Jean-Gilles, D.O.

• Speech-Language Pathologist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.