Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annie Jack

Individual provider Speech-Language Pathologist · NPI 1669861985

Annie Jack is a Qualified Speech Language Pathologist in Independence, Missouri. Qualified in 2011, 15 years ago. Practices with Empowerme Rehabilitation Missouri LLC, a 206-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
15
Licensed in
MO
In the registry since
2015
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Practice location Address checks out

3980 E Jackson Dr
Independence, MO 64057-2205
Phone: (816) 795-1433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2012011146 (MO)

Record details

NPI number1669861985
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 12, 2015
Last updated in NPPESJanuary 12, 2015
Mailing address703 Nw Par Dr, Grain Valley, MO 64029-7347

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Empowerme Rehabilitation Missouri Llc — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Independence