Jessica Marie Chitwood

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2017028647 Issued in MO

Practice address

2 Gateway Dr
Saint Louis, MO 63106-2715

Phone

(314) 241-0993

NPI assigned

Aug 10, 2017

Last updated

Aug 10, 2017By the provider in NPPES

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

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1407371420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 LIEDERKRANZ LN",
            "city": "MILLSTADT",
            "state": "IL",
            "postal_code": "622602259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GATEWAY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631062715",
            "telephone_number": "314-241-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITWOOD",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2017028647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Chismarich, M.D.
• Jesse R Chisum, BSN,RN
• Angie Renee Chitty-Kloeppel, PHARMD
• Abigail Thuet Chitwood, M.D.
• Andrew Chitwood, PHARMD
• Ami Chung-Hui Chiu, MD
• Anna Chiu, PHARMD
• Cedrick Bryant Chiu
• Eric K Chiu, M.D.
• Karen Chiu

• Speech-Language Pathologist in Saint Louis, MO
• Providers in Saint Louis, 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 Aug 10, 2017; 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.