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JESSICA FITZGERALD M.S., CCC-SLP
NPI 1104214295
Speech-Language Pathologist in Lake Winnebago, MO

Active since December 26, 2014
294 N WINNEBAGO DR, LAKE WINNEBAGO, MO 64034(913) 709-1152 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Fitzgerald M.s., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA FITZGERALD M.S., CCC-SLP (NPI 1104214295) is an individual speech-language pathologist provider in Lake Winnebago, Missouri, licensed in Missouri (2012012466) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1104214295
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJESSICA FITZGERALDCredential: M.S., CCC-SLP
Location Address294 N WINNEBAGO DRLake Winnebago, MO 64034-9319
Mailing Address294 N Winnebago DrLake Winnebago, MO 64034-9319
Phone(913) 709-1152
Sole ProprietorYes
Enumeration DateDecember 26, 2014
Last NPPES UpdateJanuary 10, 2023
NPPES CertifiedJanuary 10, 2023
✔ NPI 1104214295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in MO · 2012012466✔ Licensed in KS · 3209✔ Licensed in OR · 16792
Definition
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.
294 N WINNEBAGO DR, Lake Winnebago, MO 64034
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Fitzgerald's NPI number?

The NPI number for Jessica Fitzgerald is 1104214295. It was assigned to this individual provider in the NPPES registry on December 26, 2014.

Where is Jessica Fitzgerald located?

Jessica Fitzgerald practices at 294 N Winnebago Dr, Lake Winnebago, MO 64034. The listed phone number is (913) 709-1152.

What is Jessica Fitzgerald's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jessica Fitzgerald was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.