Active NPI
Jamie Lynn Van Zee, CCC-SLP
- Speech-Language Pathologist
- Livingston, MT
National Provider Identifier
1043657752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4029
- Practice address
- 80 West Pine Creek
Livingston, MT 59047 - Phone
- (651) 491-7977
- NPI assigned
- Jun 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8682 | MN | |
| Speech-Language Pathologist | 235Z00000X | 3283-154 | WI | |
| Speech-Language Pathologist | 235Z00000X | 4029 | MT | Primary |
Addresses
Primary practice location
80 West Pine Creek
Livingston, MT 59047
Mailing address
1106 W Park St # 152
Livingston, MT 59047-2955
Phone (651) 491-7977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8682 | MN | MD | Speech-Language Pathologist |
| 4029 | MT | MD | Speech-Language Pathologist |
| 3283-154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1043657752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 W PARK ST # 152",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "590472955",
"telephone_number": "651-491-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 WEST PINE CREEK",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "59047",
"telephone_number": "651-491-7977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN ZEE",
"first_name": "JAMIE",
"middle_name": "LYNN",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-04",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "8682",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "3283-154",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MT",
"license": "4029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.