Jaden Elle Wilson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

108421 Issued in IA

Practice address

1600 1St St E
Independence, IA 50644-3155

Phone

(319) 332-0850

NPI assigned

May 4, 2021

Last updated

Jan 25, 2023By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jrausch@bchealth.org

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.

• Virginia Gay Hospital, Inc

  • Critical Access Hospital
  • Vinton, IA
  • NPI 1164486726
  Medicare reassignment NPD
• Stone Creek Senior Partners, LLC

  • Skilled Nursing Facility
  • Cedar Rapids, IA
  • NPI 1649709817
  NPD (past)
• Virginia Gay Hospital, Inc

  dba Vinton Family Medical Clinic

  • Rural Health Clinic/Center
  • Vinton, IA
  • NPI 1447293063
  NPD (past)
• Professional Provider Enterprise LLC

  • Optometrist
  • Omaha, NE
  • NPI 1770852196
  NPD (past)

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1700469061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 3RD ST",
            "city": "LA PORTE CITY",
            "state": "IA",
            "postal_code": "506511506",
            "telephone_number": "563-513-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 1ST ST E",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506443155",
            "telephone_number": "319-332-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JADEN",
        "middle_name": "ELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "108421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrausch@bchealth.org",
            "affiliation": "N",
            "endpointDescription": "Buchanan County Health Center Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1600 1st St E",
            "city": "Independence",
            "state": "IA",
            "country_code": "US",
            "postal_code": "506443155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaela Weimerskirch
• Crystal Westphal, COTA
• Kelly J Weyant, CADC
• Krissy Jean Wieland, DNP
• Willow Strength Family Therapy, LLC
• Haley Wulfekuhle, ARNP
• Mark M Zimmer, OD

• Speech-Language Pathologist in Independence, IA
• Providers in Independence, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.