Individual provider Active NPI

Jennifer Lynn Pierce, M.SC., CCC-SLP

  • Speech-Language Pathologist
  • Butte, MT
National Provider Identifier
1386808756
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1011 Issued in MT
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

Updated by the provider on Jul 23, 2019

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 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

IdentifierTypeStateIssuer
0534344MedicaidMT
662350OtherMTBLUE 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

LicenseStateTypeSpecialty
1011MTMDAthletic 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.

Verify at the official NPI Registry.