Jessica H Spellman, CCC-SLP, TSSLD

Primary specialty

Pathology Specialist/TechnologistTaxonomy code 246Q00000X

License

030596-01 Issued in NY

Practice address

18 Creskill PL
Huntington, NY 11743-2451

Phone

(631) 805-4666

NPI assigned

Aug 11, 2021

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

Electronic endpoints 1

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": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1952076093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CRESKILL PL",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432451",
            "telephone_number": "631-805-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CRESKILL PL",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432451",
            "telephone_number": "631-805-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELLMAN",
        "first_name": "JESSICA",
        "middle_name": "H",
        "credential": "CCC-SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Q00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology",
            "state": "NY",
            "license": "030596-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jspellman4@schools.nyc.gov",
            "affiliation": "Y",
            "endpointDescription": "jspellman4@schools.nyc.gov",
            "affiliationName": "NYC Department of Education",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18 Creskill Pl",
            "city": "Huntington",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117432451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pathology Specialist/Technologist in Huntington, NY
• Providers in Huntington, NY by specialty
• Pathology Specialist/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.