Individual provider Active NPI

Janene Harper, CCC-SLP

  • Speech-Language Pathologist
  • Grinnell, IA
National Provider Identifier
1356817613
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
120432 Issued in IA
Practice address
202 4TH Ave Ste 101
Grinnell, IA 50112-1898
Phone
(641) 236-2364
NPI assigned
Oct 15, 2018
Reactivated
Aug 27, 2024
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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 120432 IA Primary

Addresses

Primary practice location

202 4TH Ave Ste 101
Grinnell, IA 50112-1898

Mailing address

1031 E 17TH St N
Newton, IA 50208-2438
Phone (720) 278-8846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250429001888 IA Practitioner - Qualified Speech Language Pathologist 0749706141 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120432IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Advantage Plus Inc Single Specialty CurrentSince Feb 16, 2025 Accepting new patients

Locations

807 Broad St
Grinnell, IA 50112
Phone (641) 236-2953

824 Commercial St
Grinnell, IA 50112
Phone (641) 236-2953

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": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1356817613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 E 17TH ST N",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502082438",
            "telephone_number": "720-278-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 4TH AVE STE 101",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "641-236-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "JANENE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "deactivation_date": "2023-05-17",
        "reactivation_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "120432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grinnell, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.