Jodi L Maynard, MA.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1097 Issued in KS

Practice address

1401 E 303Rd St
Paola, KS 66071-1386

Phone

(913) 294-8040

Fax

(913) 294-8041

NPI assigned

Aug 24, 2008

Last updated

Aug 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Joleen L Maynard Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1219536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219536000000",
    "number": "1699922450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E 303RD ST",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711386",
            "telephone_number": "913-294-8040",
            "fax_number": "913-294-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E 303RD ST",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711386",
            "telephone_number": "913-294-8040",
            "fax_number": "913-294-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "JODI",
        "middle_name": "L",
        "credential": "MA.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-24",
        "last_updated": "2008-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "1097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLEEN",
            "last_name": "MAYNARD",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sydney Main, T-LMLP
• Megen Male, ARNP
• Cory Carter Marshall, PHARM. D
• Sam Mason
• Marissa Massoni, LMSW
• Amy S McHenry, PA
• Emmett McWoods Jr., M.D.
• Medicalodges, Inc. (Medicalodges Paola)
• Medlen Family Care
• Holly Medlen, APRN

• Speech-Language Pathologist in Paola, KS
• Providers in Paola, 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 Aug 24, 2008; 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.