Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669861985 Individual Practitioner Female Practitioner

Annie Jack

Speech-Language Pathologist • Independence, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Annie Jack is a certified Speech-Language Pathologist practicing in Independence, MO. With approximately 15 years of clinical experience since completing medical education in 2011, Annie Jack delivers high-quality medical care to the local community at 3980 E JACKSON DR.

Annie Jack is affiliated with Empowerme Wellness Kansas City Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3980 E Jackson Dr

Independence, MO 640572205

Telephone 8167951433
Associated Practice Facility / Clinic
🏢 Villages Of Jackson Creek Llc Facility NPI 1982026415

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Independence, MO

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs +5.7 yrs vs City Avg
City Avg: 9.3 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
92 Specialists

Practicing in Independence, 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

Clinical Seniority & Experience Comparison

Dr. Jack (15 Years) 15 Yrs
Independence Specialty Average (9.3 Years) 9.3 Yrs

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MO 2012011146

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.

Hospital & Practice Group Affiliations

Empowerme Wellness Kansas City Llc

4100 W 85th St, Prairie Village, KS 662062166

Phone: 9134123745

Empowerme Wellness Kansas City Llc

9101 N Ambassador Dr, Kansas City, MO 641547295

Phone: 8166310847

Practice Associates & Co-Workers

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

15 Associated Practitioners
Emily Craver

Speech-Language Pathologist

NPI 1043620909
Catherine Johnston

Occupational Therapy Assistant

NPI 1093125114
Chase Moder , OTR, L

Occupational Therapist

NPI 1174974158

Occupational Therapist Registered, L

Dr. Jason Russell , DPT

Physical Therapist

NPI 1205246006

Doctor of Physical Therapy

Holly Morgan

Occupational Therapist

NPI 1245620426
NPI 1356656730

Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 12, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2015

Registered at 3980 E JACKSON DR, INDEPENDENCE, MO 640572205 (Tel: 8167951433)

📍
Updated Business Mailing Address January 12, 2015

Registered at 703 NW PAR DR, GRAIN VALLEY, MO 640297347

👤
Provider Name / Credentials Updated January 12, 2015

Recorded as ANNIE JACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2015

Speech-Language Pathologist (License #2012011146 in MO)

🟢
Initial NPI Registration & Enumeration January 12, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669861985
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2015
Last Update: January 12, 2015
Sole Proprietor: Yes

Mailing Address

703 Nw Par Dr

Grain Valley, MO 640297347

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.