JENNIFER ROSE BLACK (NPI# 1275606816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275606816 |
| Entity Type | Individual |
| Full Name | JENNIFER ROSE BLACK |
| Credential | M.S., CCC-SLP |
| Practice Address |
207 E 5th St Mountain Grove MO 65711-1660 |
| Mailing Address |
Po Box 806 207 E. 5th Street Mountain Grove MO 65711-0806 |
| Practice Telephone | 4179263177 |
| Practice Fax Number | 4179263177 |
| Mailing Telephone | 4179263177 |
| Mailing Fax Number | 4179263177 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2005034527 | MO | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740786 | Jennifer Lynn Black | Registered Nurse | 24919 S 4420 Road, Vinita, OK 74301 | 2020-11-03 |
| 1689172769 | Jennifer Lee Black | Nurse Practitioner | 14509 State Route 127 Ste B, Carlyle, IL 62231-6485 | 2018-01-24 |
| 1508387309 | Jennifer Black | Assistant Behavior Analyst | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2017-06-30 |
| 1912370354 | Jennifer Black | Social Worker | 609 Independence Pkwy Ste 115, Chesapeake, VA 23320-5209 | 2015-11-06 |
| 1609263821 | Jennifer Black | Acupuncturist | 5812 N Figueroa St, Los Angeles, CA 90042-4228 | 2015-04-26 |
| 1679978191 | Jennifer Black | Counselor | 20302 Col Glenn Road, Little Rock, AR 72210 | 2014-10-27 |
| 1891195749 | Jennifer Black | Counselor | 1518 Andrews Ave Ste D, Ozark, AL 36360-3716 | 2014-08-28 |
| 1669816500 | Jennifer Black | Counselor | 916 Nw 42nd St, Oklahoma City, OK 73118-6805 | 2013-04-22 |
| 1821381096 | Jennifer Black | Counselor | 560 Mill St Ste 250, Reno, NV 89502-1089 | 2011-05-20 |
| 1376872754 | Jennifer A Black | Massage Therapist | 3809 Atrisco Dr Nw, Suite C, Albuquerque, NM 87120-4902 | 2009-12-15 |
| Street Address |
207 E 5TH ST |
| City | MOUNTAIN GROVE |
| State | MO |
| Zip Code | 65711-1660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376612978 | Mountain Grove R-iii School District | Local Education Agency (LEA) | 207 E 5th St, Mountain Grove, MO 65711-1660 | 2006-11-07 |
| 1386260578 | Audrey Emling | Speech-Language Pathologist | 207 E 5th St, Mountain Grove, MO 65711-1660 | 2020-06-23 |
| 1215009840 | Cynthia Breid Baker | Speech-Language Pathologist | 207 E 5th St, Mountain Grove, MO 65711-1660 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912476300 | Spurling and White LLC | Nurse Practitioner | 100 W. 17th Street, Ste D, Mountain Grove, MO 65711 | 2018-11-15 |
| 1699255299 | Regional Services | Nurse Practitioner | 320 E 9th St, Mountain Grove, MO 65711 | 2018-08-14 |
| 1518342153 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 1604 C. North Main Street, Mountain Grove, MO 65711 | 2015-07-24 |
| 1265754501 | Texas County Memorial Hospital | Clinic/Center | 1905 West 19th Street, Mountain Grove, MO 65711 | 2010-02-26 |
| 1376679423 | Ozarks Medical Center | Clinic/Center | 500 East 19th Street, Suite A, Mountain Grove, MO 65711 | 2007-02-25 |
| 1508917949 | Connie Armstrong | Nurse Practitioner | 1604 N. Main, Mountain Grove, MO 65711 | 2007-01-14 |
| 1659474930 | Cheryl J Bell | Nurse Practitioner | 1602-a N. Main, Mtn. Grove, MO 65711 | 2006-09-05 |
| 1114035870 | Tommy Dean Todd | Dentist | 901 North Main, Mountain Grove, MO 65711 | 2006-08-25 |
| 1376505230 | Community Hospices of America, LLC | Hospice Care, Community Based | 1602c N Main St, Mountain Grove, MO 65711 | 2006-04-05 |
| 1972573699 | Mountain Grove Medical and Laser Center Inc | General Practice | 601 N Busch Ave, Mountain Grove, MO 65711 | 2006-01-25 |
| Find all providers in zip 65711 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386260578 | Audrey Emling | Speech-Language Pathologist | 207 E 5th St, Mountain Grove, MO 65711-1660 | 2020-06-23 |
| 1215009840 | Cynthia Breid Baker | Speech-Language Pathologist | 207 E 5th St, Mountain Grove, MO 65711-1660 | 2006-11-15 |
| 1184719643 | Evelyn Fay Donaway | Speech-Language Pathologist | 1200 North Main Street, Mountain Grove, MO 65711 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588421 | Mackenzie Depee | Speech-Language Pathologist | 263 Buccaneer Dr, Branson, MO 65616-9502 | 2020-11-08 |
| 1083215768 | Tracie Lee Beckmann | Speech-Language Pathologist | 731 Falcon Hill Trl, O Fallon, MO 63368-8194 | 2020-11-08 |
| 1518567494 | Bradley Huesgen | Speech-Language Pathologist | 3500 Oxford Blvd, Saint Louis, MO 63143-4209 | 2020-10-29 |
| 1679173793 | Demi Waggoner | Speech-Language Pathologist | 1015 W Macon St, Carthage, MO 64836-2938 | 2020-10-28 |
| 1053910422 | Serenity Speech and Language Therapy LLC | Speech-Language Pathologist | 8965 W Highway 116, Gower, MO 64454-8483 | 2020-10-18 |
| 1467051813 | Qiao Ying Li | Speech-Language Pathologist | 673 Cedar Run Dr, Ballwin, MO 63021-6207 | 2020-10-17 |
| 1952909715 | Makenzie Nicole Hackman | Speech-Language Pathologist | 4630 Brennan Rd, High Ridge, MO 63049-1801 | 2020-10-14 |
| 1205433992 | Karley Jo Smith | Speech-Language Pathologist | 12401 County Road 438, Country Club, MO 64505-3719 | 2020-10-06 |
| 1376140509 | Casey Claypool | Speech-Language Pathologist | 100 Dix Rd, Jefferson City, MO 65109-0962 | 2020-10-01 |
| 1083211213 | Brookelyn Schwartz | Speech-Language Pathologist | 325 Lewis and Clark Dr, Jefferson City, MO 65101-5586 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN GROVE |
| Zip Code | 65711 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.