JACQUE LYNN JACOBS NPI 1366561102

Speech-Language Pathologist in Hays, KS

NPI 1366561102 Individual Female Years of Experience 17 Speech-Language Pathologist Accepts Medicare Approved Payment

About JACQUE JACOBS

Jacque Jacobs is a provider established in Hays, Kansas and her medical specialization is speech-language pathologist with more than 17 years of experience. The NPI number of Jacque Jacobs is 1366561102 and was assigned on March 2007. The practitioner's primary taxonomy code is 235Z00000X with license number 2641 (KS). The provider is registered as an individual and her NPI record was last updated 15 years ago. Jacque Jacobs is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1366561102

Provider Name JACQUE LYNN JACOBS
Provider Location Address2401 CANTERBURY DR HAYS, KS 67601
Provider Mailing Address126 JOLIET ST GORHAM, KS 67640
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2005
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date03-29-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code235Z00000X
ClassificationSpeech-Language Pathologist
TypeSpeech, Language and Hearing Service Providers
License No.2641
License StateKS
Taxonomy DescriptionThe 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.

Business Address

JACQUE LYNN JACOBS
2401 CANTERBURY DR
HAYS, KS
ZIP 67601
Phone: (785) 628-3241

Get Directions


Mailing Address

JACQUE LYNN JACOBS
126 JOLIET ST
GORHAM, KS
ZIP 67640
Phone: (785) 637-5522



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
116219OTHER (01)KS

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902927759MS. CHRISTINE M. MOORE PT, ATC
Individual
Physical Therapist2401 CANTERBURY DR
HAYS, KS 67601
(785) 628-3241
1497936314 JENNIE C. LARSON PT
Individual
Physical Therapist2401 CANTERBURY DR
HAYS, KS 67601
(785) 628-3241
1992013841MS. LORI ANN MITCHELL COTA
Individual
Occupational Therapy Assistant2401 CANTERBURY DR
HAYS, KS 67601
(785) 628-3241
1518386697DR. WHITNEY FORD DPT
Individual
Physical Therapist2401 CANTERBURY DR
HAYS, KS 67601
(785) 628-3241
1790774982VIA CHRISTI VILLAGE HAYS INC
Organization
Skilled Nursing Facility2401 CANTERBURY DR
HAYS, KS 67601
(785) 628-3241

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.