MS. CANTRELL JELLEY WENZEL (NPI# 1124433172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124433172 |
| Entity Type | Individual |
| Full Name | MS. CANTRELL JELLEY WENZEL |
| Credential | M.S., CCC-SLP |
| Practice Address |
111 Ne Roanoke Dr Blue Springs MO 64014-1305 |
| Practice Telephone | 8162241390 |
| Practice Fax Number | 8162241396 |
| Mailing Telephone | 8162241390 |
| Mailing Fax Number | 8162241396 |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2014-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2005021710 | MO | Speech, Language and Hearing Service Providers |
| Street Address |
111 NE ROANOKE DR |
| City | BLUE SPRINGS |
| State | MO |
| Zip Code | 64014-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756319 | Ltaj Properties LLC | Physical Therapist | 514 Nw State 7 Hwy, Suite A, Blue Springs, MO 64014 | 2020-10-05 |
| 1790397198 | Miranda Bramble | Pharmacist | 1701 Nw Highway 7, Blue Springs, MO 64014 | 2020-08-18 |
| 1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
| 1629637764 | Beau Devereux Butzirus | Dentist | 1125 South Mo-7, Blue Springs, MO 64014 | 2019-06-12 |
| 1245725605 | Brian Geraghty | Orthopaedic Surgery | 201 Nw R D Mize Road, Blue Springs, MO 64014 | 2018-06-28 |
| 1588101224 | Andy Anderson | Prevention Professional | 2705 Nw 3rd Ter, Blue Springs, MO 64014 | 2017-01-19 |
| 1801250469 | Louis Spear | Dentist | 1215 A Nw 7 Highway, Blue Springs, MO 64014 | 2016-04-11 |
| 1083027411 | Alex Sharifian Dds Blue Springs Dentistry PC | Dentist | 1205 Ne Coronado Drive, Blue Springs, MO 64014 | 2014-06-03 |
| 1730512336 | Valerie Fombon | Pharmacist | 625 W 40 Hwy, Blue Springs, MO 64014 | 2013-08-19 |
| 1356692750 | Central Jackson County Fire Protection District | Ambulance | 805 Ne Jefferson St, Blue Springs, MO 64014 | 2012-09-25 |
| Find all providers in zip 64014 | ||||
| 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 |
|---|---|---|---|---|
| 1750837118 | Lana Lynn Ratcliff | Speech-Language Pathologist | 1222 Ne Sunny Creek Ln, Blue Springs, MO 64014-2371 | 2016-08-26 |
| 1649724204 | Heather Wagner | Speech-Language Pathologist | 5020 Nw Valley View Rd, Blue Springs, MO 64015-2345 | 2016-08-11 |
| 1811357346 | Megan Louise Dixon | Speech-Language Pathologist | 2108 Ne 23rd St, Blue Springs, MO 64029-9686 | 2016-02-25 |
| 1831587047 | Kelley Davis | Speech-Language Pathologist | 3812 Nw Briarwood Dr, Blue Springs, MO 64015-2519 | 2014-12-23 |
| 1780921056 | Naomi E Brunner | Speech-Language Pathologist | 1500 Nw Mock Ave, Ste C, Blue Springs, MO 64015-3101 | 2013-01-07 |
| 1447466354 | Cynthia A Britt | Speech-Language Pathologist | 512 Nw Delwood Dr, Blue Springs, MO 64015-6900 | 2007-05-15 |
| 1780896993 | Michele Lynn Rawson | Speech-Language Pathologist | 2417 Ne Adams Dairy Rd, Blue Springs, MO 64014-6541 | 2007-05-03 |
| 1497882294 | Emily C Libla | Speech-Language Pathologist | 3421 Nw Jefferson St, Blue Springs, MO 64015-8005 | 2007-02-27 |
| 1063553030 | Mary Kathryn Duddridge | Speech-Language Pathologist | 1422 Nw Woodcreek Cir, Blue Springs, MO 64015-7202 | 2007-02-10 |
| 1437200524 | Lisa A. Grant | Speech-Language Pathologist | 1111 Se Eastridge Dr, Blue Springs, MO 64014-3440 | 2007-01-15 |
| Find all providers in BLUE SPRINGS | ||||
| City | BLUE SPRINGS |
| Zip Code | 64014 |
Please comment or provide details below to improve the information on MS. CANTRELL JELLEY WENZEL.
| 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.