Jenifer Lyn Anderson-Peery, M.A., CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · Oak Grove, MO
NPI 1083899249 · NPPES record last updated Jan 7, 2008
Key facts
- NPI
- 1083899249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 104123 (MO)
- Practice address
- 2108 SW Mitchell St
Oak Grove, MO 64075-9472 - Phone
- (816) 690-4118
- NPI assigned
- Jan 7, 2008
- 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)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
2100 S Swope Dr
Independence, MO 64057
Phone (816) 257-5100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 104123 | MO | Yes |
Addresses
Primary practice location
2108 SW Mitchell St
Oak Grove, MO 64075-9472
Mailing address
417 NE Sunview Cir
Blue Springs, MO 64014-2045
Phone (816) 224-0938
Other providers in Oak Grove, MO
- Elaine K Akin
- Aspire Senior Living Oak Grove, LLC
- Lacie Marie Baughman
- Michele Renee Beel
- Isaac Lee Beitz
- Patricia Ann Bettels Rhodes
All providers in Oak Grove, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2008. 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.