Individual provider Active NPI

Jessica Rose Link, MA

  • Speech-Language Pathologist
  • Dubuque, IA
National Provider Identifier
1891307260
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
100761 Issued in IA
Practice address
3485 Windsor Ave
Dubuque, IA 52001-1329
Phone
(563) 557-7180
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 100761 IA Primary
Speech-Language Pathologist 235Z00000X 5083-154 WI

Addresses

Primary practice location

3485 Windsor Ave
Dubuque, IA 52001-1329

Mailing address

9853 Janelle CT
Dubuque, IA 52003-8956
Phone (563) 451-5042

Other practice location 1

1400 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 384-2331

Other identifiers 2

IdentifierTypeStateIssuer
5083-154MedicaidWI
100761MedicaidIA

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
100761IAMDSpeech-Language Pathologist
5083-154WIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1891307260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9853 JANELLE CT",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520038956",
            "telephone_number": "563-451-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 WINDSOR AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520011329",
            "telephone_number": "563-557-7180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Eastside Rd",
            "address_purpose": "LOCATION",
            "city": "Platteville",
            "state": "WI",
            "postal_code": "538189800",
            "country_code": "US",
            "telephone_number": "608-384-2331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINK",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "100761",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "5083-154",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5083-154",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100761",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.