Active NPI
Ann M Jones, MA
- Speech-Language Pathologist
- Davenport, IA
National Provider Identifier
1821323817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01113
- Practice address
- 1705 Jenna Dr
Davenport, IA 52804-8201 - Phone
- (563) 940-0116
- NPI assigned
- Oct 8, 2009
- Last updated
- Jul 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146004521 | IL | |
| Speech-Language Pathologist | 235Z00000X | 01113 | IA | Primary |
Addresses
Primary practice location
1705 Jenna Dr
Davenport, IA 52804-8201
Mailing address
1705 Jenna Dr
Davenport, IA 52804-8201
Phone (563) 940-0116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
East Moline, IL 61244
Phone (563) 265-2667
2550 Middle Rd
Suite 300
Bettendorf, IA 52722-3287
Phone (563) 940-0116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01113 | IA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Speech Solutions PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2550 Middle Rd
Ste 300
Bettendorf, IA 52722
Phone (319) 230-8018
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627171200000",
"number": "1821323817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 JENNA DR",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528048201",
"telephone_number": "563-940-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 JENNA DR",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528048201",
"telephone_number": "563-940-0116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ANN",
"middle_name": "M",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-08",
"last_updated": "2021-07-25",
"certification_date": "2021-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146004521",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "01113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.