Individual provider Active NPI

Jennie Ann Pint, CCC-SLP

  • Speech-Language Pathologist
  • Cedar Rapids, IA
National Provider Identifier
1912935503
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
00743 Issued in IA
Practice address
202 10TH Street SE
Cedar Rapids, IA 52403-2404
Phone
(319) 399-2022
Fax
(319) 399-2014
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 00743 IA Primary

Addresses

Primary practice location

202 10TH Street SE
Cedar Rapids, IA 52403-2404

Mailing address

PO Box 3178
Cedar Rapids, IA 52406-3178
Phone (319) 398-1583

Other names 1

  • Jennie Ann Kloberdanz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130104000233 IA Practitioner - Qualified Speech Language Pathologist 9931352796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic of Iowa PCGroup PAC ID 2163325242, 132 clinicians

Practice addresses (Care Compare)

202 10TH St SE
Cedar Rapids, IA 52403-2414
Phone (319) 247-3010

275 10TH St SE
Cedar Rapids, IA 52403-2414
Phone (319) 247-3010

Merit-based Incentive Payment System (MIPS)

Final score
83.5 of 100Reported as group
Quality
68.67
Promoting interoperability
100
Improvement activities
40
Cost
76.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00743IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians' Clinic of Iowa, PC CurrentSince Nov 1, 2012 Accepting new patients
Physicians Clinic of Iowa, PC CurrentSince Nov 1, 2012 Accepting new patients

Locations

202 10th St SE
Cedar Rapids, IA 52403
Phone (319) 247-3010

202 10th St SE
Ste 165
Cedar Rapids, IA 52403
Phone (319) 247-3049

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIJCBD
  • Direct secure messaging: jennie.pint@pciowa.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1912935503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3178",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524063178",
            "telephone_number": "319-398-1583",
            "fax_number": "319-399-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH STREET SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032404",
            "telephone_number": "319-399-2022",
            "fax_number": "319-399-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINT",
        "first_name": "JENNIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "00743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIE",
            "last_name": "KLOBERDANZ",
            "middle_name": "ANN",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.