Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235230582 Individual Practitioner Female Practitioner

Jennifer B. Nowak , MS, CCC-SLP

Speech-Language Pathologist • Poplar Bluff, MO

Professional Overview & Biography Verified Profile Summary

Jennifer Nowak, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Poplar Bluff, MO. Practice services are available at 1500 N WESTWOOD BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 N Westwood Blvd

Poplar Bluff, MO 639013318

Telephone 5736864151
Associated Practice Facility / Clinic
🏢 St. Louis Jc Vamc Facility NPI 1588622880

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Poplar Bluff, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
44 Specialists

Practicing in Poplar Bluff, MO (5112 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MO 2006011487

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License FL SA2618

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
466291507 (MO)
Medicaid State Provider ID
882188700 (FL)

Secondary Practice Locations

786 Highway O

Williamsville, MO 639678191

Phone: 5737146855

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Maggie Buckley , MSW, LCSW

Social Worker - Clinical

NPI 1003359563

Master of Social Work, Licensed Clinical Social Worker

Dr. Amanda Flory , DO

Psychiatry & Neurology - Psychiatry

NPI 1013337120

Doctor of Osteopathic Medicine (D.O.)

Magen Barnes

Registered Nurse

NPI 1013841592
Kenda Davis , PTA

Physical Therapy Assistant

NPI 1023296803

Physical Therapist Assistant

Jolene Wolf , FNP

Nurse Practitioner

NPI 1033174115

Family Nurse Practitioner

Oscar Smith , RRT

Respiratory Therapist, Registered

NPI 1033977012

Registered Respiratory Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Behavior Analyst

NPI Profile Active September 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2017

Registered at 1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 639013318 (Tel: 5736864151)

📍
Updated Business Mailing Address September 11, 2017

Registered at 1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 639013318 (Tel: (573) 686-6415)

👤
Provider Name / Credentials Updated September 11, 2017

Recorded as JENNIFER NOWAK, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2017

Behavior Analyst

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2017

Speech-Language Pathologist (License #2006011487 in MO)

NPI Profile Active May 22, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2009

Registered at 786 HIGHWAY O, WILLIAMSVILLE, MO 639678191 (Tel: 5737146855)

📍
Updated Business Mailing Address May 22, 2009

Registered at 786 HIGHWAY O, WILLIAMSVILLE, MO 639678191 (Tel: 5737146855)

👤
Provider Name / Credentials Updated May 22, 2009

Recorded as JENNIFER NOWAK, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2009

Speech-Language Pathologist (License #2006011487 in MO)

🟢
Initial NPI Registration & Enumeration September 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1235230582
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

1500 N Westwood Blvd

Poplar Bluff, MO 639013318

Phone: 5736866415

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.