Individual provider Active NPI

Jane Elizabeth Desmond

  • Speech-Language Pathologist
  • Milwaukee, WI
National Provider Identifier
1073185021
Registry record updated Jul 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1100 N Cass St Unit 608
Milwaukee, WI 53202-3385
Phone
(262) 422-2590
NPI assigned
Jul 10, 2021
Last updated
Jul 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X WI Primary

Addresses

Primary practice location

1100 N Cass St Unit 608
Milwaukee, WI 53202-3385

Mailing address

1100 N Cass St Unit 608
Milwaukee, WI 53202-3385
Phone (262) 422-2590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240108005733 CO Practitioner - Qualified Speech Language Pathologist 6204231715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denver Physical Therapy at HomeGroup PAC ID 9234494766, 16 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Aurora, CO 80018
Phone (720) 473-9791

14501 E Crestline Dr
Centennial, CO 80015-2559
Phone (303) 918-1219

1500 Little Raven St
Denver, CO 80202-6248
Phone (720) 360-4515

2835 W 32ND Ave
Denver, CO 80211-3299
Phone (303) 964-2112

7390 W Eastman Place
Lakewood, CO 80227-5039
Phone (720) 504-7030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc. Speech-Language Pathologist CurrentSince Aug 21, 2023 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Aug 21, 2023 Accepting new patients
Denver Physical Therapy at Home Single Specialty CurrentSince Mar 3, 2024 Accepting new patients
Rodrigo D. Rodriguez PastSince Mar 3, 2024 Accepting new patients

Locations

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625875200000",
    "number": "1073185021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N CASS ST UNIT 608",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023385",
            "telephone_number": "262-422-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N CASS ST UNIT 608",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023385",
            "telephone_number": "262-422-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMOND",
        "first_name": "JANE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-10",
        "last_updated": "2021-07-10",
        "certification_date": "2021-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.