MEDICARE: JESSICA FITZGERALD M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	3209	KS
2	235Z00000X	Speech-Language Pathologist	16792	OR
3	235Z00000X	Speech-Language Pathologist	2012012466	MO

General Provider Information

NPI Number	:	1104214295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA FITZGERALD M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	294 N WINNEBAGO DR
Second Line	:
City	:	LAKE WINNEBAGO
State	:	MO
Zip	:	64034-9319
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	294 N WINNEBAGO DR
Second Line	:
City	:	LAKE WINNEBAGO
State	:	MO
Zip	:	64034-9319
Country	:	US
Telephone Number	:	913-709-1152
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2014
Last Update Date	:	01/10/2023

Similar Medicare Providers

1780666099 — DR. DOUGLAS ALLEN PRAGER M.D.
Practice Location Address:

374 SOUTHSHORE DR
LAKE WINNEBAGO, MO
64034-9447

Practice Phone: 808-679-7672
Practice Fax: 913-442-9023

1063642700 — SHELLY D KELLER LCSW
Practice Location Address:

120 CHEROKEE LN
LAKE WINNEBAGO, MO
64034-9304

Practice Phone: 816-623-9711
Practice Fax:

1962718304 — MEGAN BECHTOLD DPT
Practice Location Address:

608 N WINNEBAGO DR
LAKE WINNEBAGO, MO
64034-9419

Practice Phone: 913-526-4434
Practice Fax: 816-600-0349

1679841175 — AFFORDABLE INCONTINENCE
Practice Location Address:

205 TUSCARORA LN
LAKE WINNEBAGO, MO
64034-9324

Practice Phone: 816-366-0050
Practice Fax:

1275274896 — FULL RANGE MOBILE PT, LLC
Practice Location Address:

608 N WINNEBAGO DR
LAKE WINNEBAGO, MO
64034-9419

Practice Phone: 913-526-4434
Practice Fax:

1174484612 — JENNIFER SHOEMAKER RN
Practice Location Address:

110 ALGONQUIN DR
LAKE WINNEBAGO, MO
64034-9301

Practice Phone: 816-668-9499
Practice Fax:

Directions to “ JESSICA FITZGERALD M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.