Active NPI
Jacqueline Leanne Young, JACQUELINE YOUNG
- Speech-Language Pathologist
- Webb City, MO
National Provider Identifier
1508087768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2006029254
- Practice address
- 411 Madison
Webb City, MO 64870 - Phone
- (417) 673-6000
- NPI assigned
- May 2, 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 | 2006029254 | MO | Primary |
Addresses
Primary practice location
411 Madison
Webb City, MO 64870
Mailing address
826 Golf Rd.
Webb City, MO 64870
Phone (417) 673-5561
Other names 1
- Mrs. Jacqueline Leanne Young
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 |
|---|---|---|---|
| 2006029254 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Webb City R-7 School District | Speech-Language Pathologist | Past | Accepting new patients |
| Ozark Speak Easy, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hearing and Speech Clinic/Center
- Ozark, MO
- NPI 1528721503
-
- Speech-Language Pathologist
- Webb City, MO
- NPI 1033245790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508087768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 GOLF RD.",
"city": "WEBB CITY",
"state": "MO",
"postal_code": "64870",
"telephone_number": "417-673-5561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 MADISON",
"city": "WEBB CITY",
"state": "MO",
"postal_code": "64870",
"telephone_number": "417-673-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JACQUELINE",
"middle_name": "LEANNE",
"name_prefix": "Mrs.",
"credential": "JACQUELINE YOUNG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2006029254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "YOUNG",
"middle_name": "LEANNE",
"prefix": "MRS.",
"credential": "JACQUELINE YOUNG",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Webb City, MO
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.