Danielle Beverly Jackson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2022004186 Issued in MO

Practice address

337 NE 51St Rd
Warrensburg, MO 64093-7490

Phone

(913) 369-5897

NPI assigned

Jul 8, 2020

Last updated

Apr 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Play to Communicate

  • Speech-Language Pathologist
  • Warrensburg, MO
  • NPI 1497579262
  NPD Authorized official

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1841818531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 NE 51ST RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640937490",
            "telephone_number": "913-369-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 NE 51ST RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640937490",
            "telephone_number": "913-369-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DANIELLE",
        "middle_name": "BEVERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2022004186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leola Jewell Hutsell
• Hy-Vee Inc
• Riddhi Ishanpara, PHARM D
• J B Astik M D P a (J.B. Astik, MD)
• Callie Marie Jackson
• Gautam Jayaswal, MD
• Johnson County Board of Services
• Johnson County Board of Services
• Johnson County Board of Services
• Johnson County Care Center

• Speech-Language Pathologist in Warrensburg, MO
• Providers in Warrensburg, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.