Active NPI
Misty Dawn Quint, MS CCC SLP
- Speech-Language Pathologist
- Marion, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 2907 Williamson County Pkwy
Marion, IL 62959 - Phone
- (618) 993-5042
- NPI assigned
- Nov 3, 2006
- 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 | IL | Primary |
Addresses
Primary practice location
2907 Williamson County Pkwy
Marion, IL 62959
Mailing address
11129 A Lake Hamilton LN
Marion, IL 62959
Phone (618) 993-5042
Other names 1
- Misty Dawn Jones
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090707000678 | IL | Practitioner - Qualified Speech Language Pathologist | 0941351779 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Empowerme Rehabilitation Illinois LLC
Practice addresses (Care Compare)
7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146008539 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Illinois, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current | Accepting new patients |
Locations
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 9
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.
-
- Occupational Therapist
- Edwardsville, IL
- NPI 1679098263
IL, Speech-Language Pathologist
-
- Multi-Specialty Clinic/Center
- Belleville, IL
- NPI 1174118103
IL, Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Carbondale, IL
- NPI 1467198317
-
- Rehabilitation Clinic/Center
- Bloomington, IL
- NPI 1942871710
-
- Multi-Specialty Clinic/Center
- Kokomo, IN
- NPI 1023618956
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1528652096
-
- Multi-Specialty Clinic/Center
- Holland, MI
- NPI 1548865876
-
- Rehabilitation Clinic/Center
- Mount Carmel, IL
- NPI 1962073734
Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Liberty, MO
- NPI 1174299044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164501656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11129 A LAKE HAMILTON LN",
"city": "MARION",
"state": "IL",
"postal_code": "62959",
"telephone_number": "618-993-5042",
"fax_number": "618-998-9993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2907 WILLIAMSON COUNTY PKWY",
"city": "MARION",
"state": "IL",
"postal_code": "62959",
"telephone_number": "618-993-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINT",
"first_name": "MISTY",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MISTY",
"last_name": "JONES",
"middle_name": "DAWN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.