Jessica Jeanne Smith, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Bel Aire, KS
NPI 1013328707 · NPPES record last updated Nov 25, 2020
Key facts
- NPI
- 1013328707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3792 (KS)
- Practice address
- 4561 Westlake CT.
Bel Aire, KS 67220 - Phone
- (316) 304-5303
- Fax
- (316) 634-8850
- NPI assigned
- May 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3792 | KS | MD | Speech-Language Pathologist |
| K01754066 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crafty Speech Therapy, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | K01754066 | KS | |
| Speech-Language Pathologist | 235Z00000X | 3792 | KS | Yes |
Addresses
Primary practice location
4561 Westlake CT.
Bel Aire, KS 67220
Mailing address
4561 Westlake CT.
Bel Aire, KS 67220
Phone (316) 304-5303
Other names
- Jessica Jeanne Mirt
Other providers in Bel Aire, KS
- Karen Jean Rupp
- Katherine Saenz
- Brian Joseph Schmitz
- Scooter Store Kansas City LLC
- Amy Marie Smith
- Levi Burton Southern
- Paige Stockham
- Summit BHC Wichita, LLC
- Sundance Rehabilitation
- Sundance Rehabillitation
All providers in Bel Aire, KS · Speech-Language Pathologist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.