Individual provider Active NPI

Jenna Suzanne Wingerter-Uchtman, SLP

  • Speech-Language Pathologist
  • Saint Louis, MO
National Provider Identifier
1821744376
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2021010603 Issued in MO
Practice address
567 North and South Rd Apt C
Saint Louis, MO 63130-3939
Phone
(314) 380-3088
NPI assigned
Feb 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2021010603 MO Primary

Addresses

Primary practice location

567 North and South Rd Apt C
Saint Louis, MO 63130-3939

Mailing address

567 North and South Rd Apt C
Saint Louis, MO 63130-3939
Phone (314) 380-3088

Other names 1

  • Jenna Suzanne Wingerter 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

State licenses

LicenseStateTypeSpecialty
2021010603MOMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1821744376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 NORTH AND SOUTH RD APT C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303939",
            "telephone_number": "314-380-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 NORTH AND SOUTH RD APT C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303939",
            "telephone_number": "314-380-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGERTER-UCHTMAN",
        "first_name": "JENNA",
        "middle_name": "SUZANNE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2021010603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "WINGERTER",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.