Active NPI
Functional Speech Solutions PLLC
- Speech-Language Pathologist
- Davenport, IA
National Provider Identifier
1407503352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- FUNCTIONAL SPEECH SOLUTIONS PLLC
- Practice address
- 1705 Jenna Dr
Davenport, IA 52804-8201 - Phone
- (563) 940-0116
- NPI assigned
- Mar 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ann Jones
- Title
- Speech Pathologist
- Phone
- (563) 940-0116
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1705 Jenna Dr
Davenport, IA 52804-8201
Mailing address
1705 Jenna Dr
Davenport, IA 52804-8201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646784000000",
"number": "1407503352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 JENNA DR",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528048201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 JENNA DR",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528048201",
"telephone_number": "563-940-0116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUNCTIONAL SPEECH SOLUTIONS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-09",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "ANN",
"authorized_official_title_or_position": "SPEECH PATHOLOGIST",
"authorized_official_telephone_number": "563-940-0116"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.