Individual provider Active NPI

Jane Clem Heinemeyer, MA, CCC/SLP

  • Speech-Language Pathologist
  • Sioux Falls, SD
National Provider Identifier
1497975627
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
520 S. 1St Ave
Usd Scottish Rite Children'S Clinic
Sioux Falls, SD 57104-6902
Phone
(605) 336-7561
Fax
(605) 330-9820
NPI assigned
Apr 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 00171116 SD
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

520 S. 1St Ave
Usd Scottish Rite Children'S Clinic
Sioux Falls, SD 57104-6902

Mailing address

414 East Clark St
Usd Speech & Hearing Center
Vermillion, SD 57069
Phone (605) 677-5474

Other names 1

  • Mrs. Jane Marie Clem Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
00171116SDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of South Dakota Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1497975627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 EAST CLARK ST",
            "address_2": "USD SPEECH & HEARING CENTER",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "57069",
            "telephone_number": "605-677-5474",
            "fax_number": "605-677-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S. 1ST AVE",
            "address_2": "USD SCOTTISH RITE CHILDREN'S CLINIC",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571046902",
            "telephone_number": "605-336-7561",
            "fax_number": "605-330-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINEMEYER",
        "first_name": "JANE",
        "middle_name": "CLEM",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "00171116",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "CLEM",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "MA, CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.