Active NPI
Jacqueline Foreman
- Speech-Language Pathologist
- Columbia, MO
National Provider Identifier
1831813237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 4812 Santana Cir
Columbia, MO 65203-7138 - Phone
- (573) 380-5557
- NPI assigned
- Sep 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
4812 Santana Cir
Columbia, MO 65203-7138
Mailing address
11612 Brookstone Dr
Ocean Springs, MS 39564-4569
Phone (573) 639-2279
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UNKNOWN | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | jackieforemanslp@gmail.com | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Therapy Solutions | Current | Accepting new patients |
Locations
4812 Santana Cir
Columbia, MO 65203
Phone (573) 380-5557
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Columbia, MO
- NPI 1013648229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1831813237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11612 BROOKSTONE DR",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395644569",
"telephone_number": "573-639-2279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4812 SANTANA CIR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652037138",
"telephone_number": "573-380-5557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOREMAN",
"first_name": "JACQUELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-29",
"last_updated": "2022-09-29",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "UNKNOWN",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "jackieforemanslp@gmail.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "4812 Santana Cir",
"city": "Columbia",
"state": "MO",
"country_code": "US",
"postal_code": "652037138",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.