Active NPI
Jennifer Partridge
- Speech-Language Pathologist
- Cape Girardeau, MO
National Provider Identifier
1326596172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2016032521
- Practice address
- 611 N Fountain St
Cape Girardeau, MO 63701-7244 - Phone
- (573) 986-4985
- Fax
- (573) 986-4994
- NPI assigned
- Sep 21, 2016
- 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 | 2016032521 | MO | Primary |
Addresses
Primary practice location
611 N Fountain St
Cape Girardeau, MO 63701-7244
Mailing address
1 University PLZ
Mailstsop 9450
Cape Girardeau, MO 63701-4710
Phone (573) 986-4985
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016032521 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foster Their Voice, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Foster Their Voice, LLC | Current | Accepting new patients | |
| Southeast Missouri State University Autism Center | Past | Accepting new patients |
Locations
661 W Independence St
Jackson, MO 63755
Phone (573) 243-9753
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Jackson, MO
- NPI 1699337691
-
- Clinic/Center
- Jackson, MO
- NPI 1871319707
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Cape Girardeau, MO
- NPI 1699020503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1326596172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 UNIVERSITY PLZ",
"address_2": "MAILSTSOP 9450",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637014710",
"telephone_number": "573-986-4985",
"fax_number": "573-986-4994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 N FOUNTAIN ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637017244",
"telephone_number": "573-986-4985",
"fax_number": "573-986-4994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARTRIDGE",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2016032521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.