Malia Jaynes, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14086814 Issued in NU

Practice address

509 W McKinley Ave Ste 3
Mishawaka, IN 46545-5564

Phone

(574) 703-1713

NPI assigned

Nov 8, 2019

Last updated

Nov 8, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Heartsong Speech and Feeding, LLC

  • Hearing and Speech Clinic/Center
  • Mishawaka, IN
  • NPI 1518502095
  NPD Authorized official
• Milk Guide Lactation LLC

  dba Milk Guide

  • Multi-Specialty Clinic/Center
  • Mishawaka, IN
  • NPI 1003407230
  NPD (past)

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1720623291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 316",
            "city": "NORTH LIBERTY",
            "state": "IN",
            "postal_code": "465540316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W MCKINLEY AVE STE 3",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465455564",
            "telephone_number": "574-703-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYNES",
        "first_name": "MALIA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": "14086814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason M Jaronik, MD
• Julie Ann Jarvis, DDS
• Maciej Jaskiewicz, PT
• Andrea Jastrzembski
• Onkarpreet Singh Jawanda
• Jeffrey S. Feltzer, DMD, P.C.
• Michelle Faye Jeffrey, COTA,CLT
• Sandra Kay Jenkins
• Bobbi Jean Jennings, RBT
• Megan Jennings

• Speech-Language Pathologist in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.