Active NPI
Jillian Rae Volker, M.A. CCC-SLP
- Speech-Language Pathologist
- Waukon, IA
National Provider Identifier
1043839194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 096808
- Practice address
- 21 E Main St
Waukon, IA 52172-1748 - Phone
- (563) 568-3477
- NPI assigned
- Apr 9, 2020
- Last updated
- Apr 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 096808 | IA | Primary |
Addresses
Primary practice location
21 E Main St
Waukon, IA 52172-1748
Mailing address
405 Madison St
Sumner, IA 50674-1339
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096808 | IA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586390400000",
"number": "1043839194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 MADISON ST",
"city": "SUMNER",
"state": "IA",
"postal_code": "506741339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 E MAIN ST",
"city": "WAUKON",
"state": "IA",
"postal_code": "521721748",
"telephone_number": "563-568-3477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLKER",
"first_name": "JILLIAN",
"middle_name": "RAE",
"name_prefix": "Miss",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-09",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "096808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukon, IA
- Veterans Memorial Hospital City of Waukon Ia
- Veterans Memorial Hospital City of Waukon Ia
- Veterans Memorial Hospital City of Waukon Ia (VMH Ambulance Service)
- Veterans Memorial Hospital City of Waukon Ia (Veterans Memorial Hospital)
- Veterans Memorial Hospital-Public Health
- Jessica Lynn Waters, PTA
- Waukon Family Chiropractic
- Waukon Ia Skilled Nursing Facility, LLC (Southcrest Manor Operator)
- Waukon Ia Skilled Nursing Facility, LLC
- Waukon Ia Skilled Nursing Facility, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.