Jessica Ann Older

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2009014885 Issued in MO

Practice address

15143 N Cherry CT
Parkville, MO 64152-1640

Phone

(217) 276-5377

NPI assigned

Dec 13, 2006

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

Enrolled in KS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Minds Matter, LLC

  • Occupational Therapist
  • Mission, KS
  • NPI 1679617955
  Medicare reassignment NPD

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1124189915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15143 N CHERRY CT",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641521640",
            "telephone_number": "217-276-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15143 N CHERRY CT",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641521640",
            "telephone_number": "217-276-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDER",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2009014885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nass, Inc
• New Cognition LLC
• Andrew Duy Nguyen, PHARM D.
• Northland Sleep Technologies LLC
• Oasis Counseling and Enrichment
• Michele D Omundson, NP
• Cortney L Oyer
• Paladin Health LLC
• Park University
• Parkville Pediatric Dentistry, LLC

• Speech-Language Pathologist in Parkville, MO
• Providers in Parkville, 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 Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.