Jeridy D Oetken, MBA/MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2093 Issued in KS

Practice address

1102 Saint Marys Rd FL 2
Junction City, KS 66441-4139

Phone

(785) 762-3350

NPI assigned

Sep 21, 2007

Last updated

Sep 21, 2007By the provider in NPPES

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

• Jeridy Landers Former name

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas State UniversityGroup PAC ID 3971556770, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Kansas State University

  dba KSU Audiology Department

  • Hearing and Speech Clinic/Center
  • Manhattan, KS
  • NPI 1790905446
  Medicare reassignment Care Compare group NPD
• Kansas State University

  dba KSU Speech & Hearing Center

  • Hearing and Speech Clinic/Center
  • Manhattan, KS
  • NPI 1154541886
  NPD
• Kansas State University

  dba Lafene Health Center

  • Student Health Clinic/Center
  • Manhattan, KS
  • NPI 1780633115
  NPD (past)

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1558557652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 SAINT MARYS RD FL 2",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664414139",
            "telephone_number": "785-762-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 SAINT MARYS RD FL 2",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664414139",
            "telephone_number": "785-762-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OETKEN",
        "first_name": "JERIDY",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "MBA/MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERIDY",
            "last_name": "LANDERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ella Norman
• Jacqueline Renee Norman, RN
• Northland Hearing Centers, Inc. (Hartland Hearing Care Centers)
• Kaylee Nunez
• Dana Jo Obermeyer, LSCSW
• Isabella Lorie Oropeza
• Sabrina Osborn
• Kristina Ostermeyer, PT, DPT
• Kori Nicole Ostmeyer, M.S., CCC-SLP
• Karen D Owen, LSCSW

• Speech-Language Pathologist in Junction City, KS
• Providers in Junction City, KS by specialty
• Speech-Language Pathologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.