Jenna Brooks

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2014026324 Issued in MO

Practice address

17302 E R D Mize Rd
Independence, MO 64057-1819

Phone

(816) 521-5395

NPI assigned

Oct 22, 2014

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1043614837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17302 E R D MIZE RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571819",
            "telephone_number": "816-521-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17302 E R D MIZE RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571819",
            "telephone_number": "816-521-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2014026324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Brogan
• Bronson Chiropractic Clinic, P.C.
• Tim O Bronson, D.C.
• Brooklong Compassions LLC
• Cheryl Brooks
• Lisa D Brooks, LCSW
• Stephanie Brown-Billingsly, DO
• Addison Rae Brown, PLPC
• Alesha R. Brown
• Breeshanna R Brown, CNA

• Speech-Language Pathologist in Independence, MO
• Providers in Independence, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.