Active NPI
Jacqueline James
- Speech-Language Pathologist
- Rossville, IN
National Provider Identifier
1639986292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22005381A
- Practice address
- 5939 S 600 W
Rossville, IN 46065-9050 - Phone
- (309) 202-4770
- NPI assigned
- Dec 16, 2024
- Last updated
- Dec 16, 2024
- 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 | 22005381A | IN | Primary |
Addresses
Primary practice location
5939 S 600 W
Rossville, IN 46065-9050
Mailing address
5939 S 600 W
Rossville, IN 46065-9050
Phone (309) 202-4770
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 |
|---|---|---|---|
| 22005381A | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1639986292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5939 S 600 W",
"city": "ROSSVILLE",
"state": "IN",
"postal_code": "460659050",
"telephone_number": "309-202-4770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5939 S 600 W",
"city": "ROSSVILLE",
"state": "IN",
"postal_code": "460659050",
"telephone_number": "309-202-4770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "JACQUELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-16",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22005381A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rossville, IN
- American Oxygen & Medical Equipment, Inc. (Arcadia H.O.M.E.)
- Arnett Clinic, LLC
- Jennifer Leigh Green-Springer, DDS
- Alice Sue Green, DDS
- Dwayne Allen Hoskins, DC
- Courtney Elizabeth Lytle
- Major Hospital (Milner Community Health Care)
- Elizabeth Michael-Butler
- Elizabeth Perkl, M.A. CCC-SLP
- Kestra Rizza, LAT, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.