Jade Smith, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2014036850 Issued in MO

Practice address

925 Felix St
Saint Joseph, MO 64501-2706

Phone

(816) 671-4000

Fax

(816) 671-4013

NPI assigned

Dec 16, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Freedom Springs Therapy Services LLC

  • Speech-Language Pathologist
  • Kansas City, MO
  • NPI 1477389344
  NPD Authorized official

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1982002424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 BROOKLYN AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641302532",
            "telephone_number": "816-853-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 FELIX ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645012706",
            "telephone_number": "816-671-4000",
            "fax_number": "816-671-4013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Troost Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641091538",
            "country_code": "US",
            "telephone_number": "816-853-4737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JADE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2014036850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Dawn Smith, MSN, APRN, FNP-BC
• Bruce D Smith, M.D.
• Caden Tyler Smith
• Cyrus Daniel Smith, D.O.
• Deanna Smith, LPC
• James Dickey Smith, DC
• Jan Smith
• Janet Sanders Smith, RPT
• Jessica Smith
• Judd Michael Smith, M.D.

• Speech-Language Pathologist in Saint Joseph, MO
• Providers in Saint Joseph, 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 Oct 16, 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.