Individual provider Active NPI

Jeanne Flowers, MSDE, MS, CCC-SLP

  • Speech-Language Pathologist
  • Chesterfield, MO
National Provider Identifier
1740603620
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2012005129 Issued in MO
Practice address
1809 Clarkson Rd
Chesterfield, MO 63017-5065
Phone
(636) 532-2672
NPI assigned
Jan 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2012005129 MO Primary
Speech-Language Pathologist 235Z00000X 22005489A IN
Speech-Language Pathologist 235Z00000X 20101 CA
Speech-Language Pathologist 235Z00000X 2635 MT
Speech-Language Pathologist 235Z00000X 108115 TX

Addresses

Primary practice location

1809 Clarkson Rd
Chesterfield, MO 63017-5065

Mailing address

1809 Clarkson Rd
Chesterfield, MO 63017-5065
Phone (636) 532-2672

Other names 1

  • Jeanne Laughlin Breitmayer Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2635MTMDAddiction (Substance Use Disorder) Counselor
20101CAMDGeneral Practice Dentistry
22005489AINMDSpeech-Language Pathologist
2012005129MOMDSpeech-Language Pathologist
108115TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1740603620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 CLARKSON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175065",
            "telephone_number": "636-532-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 CLARKSON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175065",
            "telephone_number": "636-532-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOWERS",
        "first_name": "JEANNE",
        "credential": "MSDE, MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2012005129",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22005489A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "20101",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "2635",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108115",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "BREITMAYER",
            "middle_name": "LAUGHLIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.