Active NPI
Jovanna Lynn Balquier
- Speech-Language Pathologist
- Council Bluffs, IA
National Provider Identifier
1992267520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 2452 N Broadway
Council Bluffs, IA 51503-0432 - Phone
- (712) 323-7135
- NPI assigned
- Apr 2, 2019
- Last updated
- Apr 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
2452 N Broadway
Council Bluffs, IA 51503-0432
Mailing address
510 S 7TH St
Nebraska City, NE 68410-2949
Phone (402) 209-3860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Opportunities Foundation | Current | Accepting new patients |
Locations
5860 Baker Rd
Minnetonka, MN 55345
Phone (612) 488-9019
5868 Baker Rd
Minnetonka, MN 55345
Phone (612) 488-9014
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1992267520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 S 7TH ST",
"city": "NEBRASKA CITY",
"state": "NE",
"postal_code": "684102949",
"telephone_number": "402-209-3860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2452 N BROADWAY",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515030432",
"telephone_number": "712-323-7135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALQUIER",
"first_name": "JOVANNA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.