Jessica Lynn Elkins, MA, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

46003825A Issued in IN

Practice address

300 E Broadway St
Loogootee, IN 47553-1708

Phone

(812) 709-3286

NPI assigned

Sep 11, 2020

Last updated

Sep 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Martin County Urgent Care LLC

  • Urgent Care Clinic/Center
  • Loogootee, IN
  • NPI 1346923414
  NPD

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1861007312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 STEEPLE POINT LN",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474215545",
            "telephone_number": "812-583-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BROADWAY ST",
            "city": "LOOGOOTEE",
            "state": "IN",
            "postal_code": "475531708",
            "telephone_number": "812-709-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "MA, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46003825A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSING AGENCY",
            "identifier": "46003825A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Michelle Dooley, CCC-SLP
• Tracy Lynn Dorsett
• Dr Rick D Bauer
• Karla Jo Eckerle, RPH
• Krystal Dawn Eckert, OTR
• Lindsey Brooke Gingerich, OTR
• Good Samaritan Family Health Center, Inc (Family Health Center)
• Good Samaritan Family Health Center, Inc (Family Health Center)
• Kameron Paul Graber, PT, DPT, LAT, ATC
• Brooke Wolfe Gregory, NP

• Speech-Language Pathologist in Loogootee, IN
• Providers in Loogootee, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.