NPI Code Detail JSON Logo

1326950866 NPI number — JESSICA MASON MA CCC-SLP

NPI Number: 1326950866
Health Care Provider/Practitioner: JESSICA MASON MA CCC-SLP

Information about “1326950866” NPI (JESSICA MASON MA CCC-SLP) exists in 1326950866 in HTML format HTML  |  1326950866 in plain Text format TXT  |  1326950866 in PDF (Portable Document Format) PDF  |  1326950866 in an XML format XML  formats.

NPI Number : 1326950866 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326950866",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MASON",
    "FirstName": "JESSICA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "73 GRIMES RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEGAUNEE",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49866-9600",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "906-869-0368",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "350 ASPEN RIDGE SCHOOL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ISHPEMING",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49849-9092",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "906-485-3175",
    "PracticeLocationAddressFaxNumber": "906-485-3182",
    "EnumerationDate": "09/21/2026",
    "LastUpdateDate": "09/21/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "7101003835",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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