Jennifer Williams

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2015020722 Issued in MO

Practice address

3901 Old State Road M
Imperial, MO 63052-2954

Phone

(636) 942-2181

NPI assigned

Aug 8, 2014

Sex

Female

Sole proprietor

Yes

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

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.

• Flagstaff Unified School District #1

  • Local Education Agency (LEA)
  • Flagstaff, AZ
  • NPI 1407982226
  NPD (past)

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1285043737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ANTONIA MIDDLE SCHOOL",
            "address_2": "6798 ST. LUKES CHURCH RD.",
            "city": "BARNHART",
            "state": "MO",
            "postal_code": "63012",
            "telephone_number": "636-282-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 OLD STATE ROAD M",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "630522954",
            "telephone_number": "636-942-2181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3285 E Sparrow Ave",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860047794",
            "country_code": "US",
            "telephone_number": "928-527-6163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2015020722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anissa Wheeler, MSN, APRN, FNP-BC
• Carol Marie Wheeler, MA, MS, PLPC
• Shelley Whitehead, COTA/L
• Tonya Wibbenmeyer, MSW, LCSW
• Angela M Williams, MSW, LMSW
• Heather Renee Willis
• Windsor C-1 School District
• Windsor C-1 School District
• Windsor C-1 School District
• Caitlynd Winstead, RBT

• Speech-Language Pathologist in Imperial, MO
• Providers in Imperial, 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 21, 2018; 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.