Individual provider Active NPI

Jenna Lynn Beuerlein, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Kansas City, KS
National Provider Identifier
1548504673
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3367 Issued in KS
Practice address
8247 Leavenworth Rd
Kansas City, KS 66109-1574
Phone
(913) 703-4037
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3367 KS Primary

Addresses

Primary practice location

8247 Leavenworth Rd
Kansas City, KS 66109-1574

Mailing address

8247 Leavenworth Road
Kansas City, KS 66109
Phone (913) 703-4037

Other practice location 1

113 Delaware St
Suite F
Leavenworth, KS 66048-2822
Phone (913) 362-7518

Other names 1

  • Miss Jenna Lynn Sprouse Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141124000292 KS Practitioner - Qualified Speech Language Pathologist 1153643481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8010 Parallel Pkwy
Kansas City, KS 66112-2009
Phone (913) 703-4037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3367KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Communication Station LLC Speech-Language Pathologist CurrentSince Apr 17, 2018 Accepting new patients

Locations

8247 Leavenworth Rd
Kansas City, KS 66109
Phone (913) 703-4037

8010 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 703-4037

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548504673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8247 LEAVENWORTH ROAD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66109",
            "telephone_number": "913-703-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8247 LEAVENWORTH RD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661091574",
            "telephone_number": "913-703-4037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Delaware St",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660482822",
            "country_code": "US",
            "telephone_number": "913-362-7518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEUERLEIN",
        "first_name": "JENNA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "3367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "SPROUSE",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.