Active NPI
Kimberly Dawn Jurgemeyer
- Speech-Language Pathologist
- Ankeny, IA
National Provider Identifier
1437277621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01663
- Practice address
- 301 NE Trilein Dr
Suite 4
Ankeny, IA 50021-2170 - Phone
- (515) 965-7682
- NPI assigned
- Mar 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 01663 | IA | Primary |
Addresses
Primary practice location
301 NE Trilein Dr
Suite 4
Ankeny, IA 50021-2170
Mailing address
1800 Grand Ave Apt 82
West Des Moines, IA 50265-5013
Phone (641) 425-9711
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01663 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437277621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 GRAND AVE APT 82",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502655013",
"telephone_number": "641-425-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 NE TRILEIN DR",
"address_2": "SUITE 4",
"city": "ANKENY",
"state": "IA",
"postal_code": "500212170",
"telephone_number": "515-965-7682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURGEMEYER",
"first_name": "KIMBERLY",
"middle_name": "DAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "01663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.