Jessica Lynn Elkins, MA, CF-SLP

Individual provider Active NPI Speech-Language Pathologist · Loogootee, IN

NPI 1861007312 · NPPES record last updated Sep 18, 2020

Key facts

NPI
1861007312
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
46003825A (IN)
Practice address
300 E Broadway St
Loogootee, IN 47553-1708
Phone
(812) 709-3286
NPI assigned
Sep 11, 2020
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
46003825AINMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin County Urgent Care LLC Current
since Aug 13, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 46003825A IN Yes

Addresses

Primary practice location

300 E Broadway St
Loogootee, IN 47553-1708

Mailing address

223 Steeple Point LN
Bedford, IN 47421-5545
Phone (812) 583-1570

Other identifiers

IdentifierTypeStateIssuer
46003825AOtherINPROFESSIONAL LICENSING AGENCY

Other providers in Loogootee, IN

All providers in Loogootee, IN · Speech-Language Pathologist in Indiana

Sources for this page

Verify at the official NPI Registry.