Jennifer Nicole Jines, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2000159411 Issued in MO

Practice address

20794 US Highway 61
Sikeston, MO 63801-7260

Phone

(573) 471-2686

Fax

(573) 471-3515

NPI assigned

May 18, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Scott County Central Schools

  • Local Education Agency (LEA)
  • Sikeston, MO
  • NPI 1669515987

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1154556389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W GRANT ST APT C",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638412451",
            "telephone_number": "573-471-2686",
            "fax_number": "573-471-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20794 US HIGHWAY 61",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638017260",
            "telephone_number": "573-471-2686",
            "fax_number": "573-471-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINES",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2000159411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle E Jansen, FNP
• Christy Lea Jaynes, M.A. CCC-SLP
• Rory Jaynes
• Betty Jo Ann Jenkins, MA, PLPC
• James M Jernigan, DDS
• Amanda Jo Johnson
• Hannah Johnson, OTD, OTR/L
• Lauren Rae Johnson, PMHNP-BC
• Lindsey R Johnson, MSW, LCSW
• Paige Johnson

• Speech-Language Pathologist in Sikeston, MO
• Providers in Sikeston, 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 May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.