Jennifer A. Graham

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01092048 Issued in MO

Practice address

7370 Weldon Spring Rd
Dardenne Prairie, MO 63368-8702

Phone

(636) 851-5388

NPI assigned

Aug 27, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1972851806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 CENTRAL SCHOOL RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633047113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7370 WELDON SPRING RD",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633688702",
            "telephone_number": "636-851-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JENNIFER",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "01092048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• F. Jay Ohmes DDS LLC
• James Alvin Faber, D.D.S.
• Joshua M Fink, D.C., B.S.
• Justin K Fox, DDS
• Andrea B Gerke, RPH
• Reece M Hadden, DPT
• Kimberly Hadley, CNP
• Brian Heaney, RPH
• Brittany Hogan
• Grant Michael Hughes, PHARM.D.

• Speech-Language Pathologist in Dardenne Prairie, MO
• Providers in Dardenne Prairie, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.