Individual provider Active NPI

Joyce C Delaney

  • Speech-Language Pathologist
  • Edina, MO
National Provider Identifier
1194942284
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01841 Issued in MO
Practice address
RR 3 Box 59
Edina, MO 63537-9603
Phone
(660) 397-2228
Fax
(660) 397-3998
NPI assigned
Apr 19, 2007
Last updated
Feb 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 01841 MO Primary

Addresses

Primary practice location

RR 3 Box 59
Edina, MO 63537-9603

Mailing address

RR 3 Box 59
Edina, MO 63537-9603
Phone (660) 397-2228

Other identifiers 1

IdentifierTypeStateIssuer
463510230MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01841MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Knox County R-I School District Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1194942284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 59",
            "city": "EDINA",
            "state": "MO",
            "postal_code": "635379603",
            "telephone_number": "660-397-2228",
            "fax_number": "660-397-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 59",
            "city": "EDINA",
            "state": "MO",
            "postal_code": "635379603",
            "telephone_number": "660-397-2228",
            "fax_number": "660-397-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANEY",
        "first_name": "JOYCE",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "01841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "463510230",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.