Ivy Nicole Jones, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2024021825 Issued in MO

Practice address

201 Grand Ave
Washington, MO 63090-1209

Phone

(636) 239-9190

NPI assigned

Aug 22, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ivy Nicole Jones Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1447083795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 AMERICAN INN RD",
            "city": "VILLA RIDGE",
            "state": "MO",
            "postal_code": "630892152",
            "telephone_number": "636-649-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GRAND AVE",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630901209",
            "telephone_number": "636-239-9190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 S 6th St",
            "address_purpose": "LOCATION",
            "city": "Pacific",
            "state": "MO",
            "postal_code": "630691328",
            "country_code": "US",
            "telephone_number": "636-271-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "IVY",
        "middle_name": "NICOLE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2024021825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVY",
            "last_name": "JONES",
            "middle_name": "NICOLE",
            "credential": "SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• James D Jansen, M.D.
• Sarah D Jasper, MSN, CPNP-PC
• Jon P. Lebsack, D.D.S., P.C.
• Daniel Donovan Jones, D.O.
• Georgia Jones, M.D.
• Timothy G Jones, M.A.
• Jaeyoung Joo
• Dana L Kampschroeder, LPC
• Zeina Karam, MD
• Jerry Karr, DO

• Speech-Language Pathologist in Washington, MO
• Providers in Washington, 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 22, 2024; 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.