Jody Lee Zeadow, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2631 Issued in NE

Practice address

233 N Hastings Ave
Hastings, NE 68901-5168

Phone

(641) 895-3142

NPI assigned

Feb 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jody Lee Heetland Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Qualified Speech Language Pathologist

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Millennium Rehab & Consulting, Inc.

  • Physical Therapist
  • Des Moines, IA
  • NPI 1255385852
  NPD (past)
• Millennium Rehab & Consulting, Inc.

  • Physical Therapist
  • Fort Dodge, IA
  • NPI 1376597708

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1962096537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 N HASTINGS AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 N HASTINGS AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015168",
            "telephone_number": "641-895-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEADOW",
        "first_name": "JODY",
        "middle_name": "LEE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "099499",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "2631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "HEETLAND",
            "middle_name": "LEE",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin K Wycoff, MD
• Gary L Wyeno, AUD
• Kiley Ann Wynn
• Morgan Nevaeh Wynn
• Mary Paige Zach, RN
• Rachel Zentner, M.D.
• Hannah Zimlich
• Shannon Zimlich
• Timothy C Zimmerman, MD
• Mantalina Zipf

• Speech-Language Pathologist in Hastings, NE
• Providers in Hastings, NE by specialty
• Speech-Language Pathologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.