Active NPI
Jennifer Lynn Pierce, M.SC., CCC-SLP
- Speech-Language Pathologist
- Butte, MT
National Provider Identifier
1386808756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1011
- Practice address
- 208 W Park St
Butte, MT 59701 - Phone
- (406) 723-4830
- Fax
- (406) 723-1232
- NPI assigned
- Jul 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 1011 | MT | Primary |
Addresses
Primary practice location
208 W Park St
Butte, MT 59701
Mailing address
208 W Park St
Butte, MT 59701-1648
Phone (406) 723-4830
Other practice location 1
202 W Park St
Butte, MT 59701-1648
Phone (406) 723-4830
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0534344 | Medicaid | MT | |
| 662350 | Other | MT | BLUE CROSS BLUE SHIELF OF MONTANA |
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 |
|---|---|---|---|
| 1011 | MT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1386808756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 W PARK ST",
"city": "BUTTE",
"state": "MT",
"postal_code": "597011648",
"telephone_number": "406-723-4830",
"fax_number": "406-723-1232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 W PARK ST",
"city": "BUTTE",
"state": "MT",
"postal_code": "59701",
"telephone_number": "406-723-4830",
"fax_number": "406-723-1232"
}
],
"practiceLocations": [
{
"address_1": "202 W Park St",
"address_purpose": "LOCATION",
"city": "Butte",
"state": "MT",
"postal_code": "597011648",
"country_code": "US",
"telephone_number": "406-723-4830",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIERCE",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "M.SC., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-15",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MT",
"license": "1011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0534344",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELF OF MONTANA",
"identifier": "662350",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Butte, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.