Lori Obermann

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2010028672 Issued in MO

Practice address

614 E Adams St
Jackson, MO 63755-2150

Phone

(573) 243-9599

NPI assigned

Aug 25, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jackson R-2 Schools

  • Local Education Agency (LEA)
  • Jackson, MO
  • NPI 1053564245
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1013223205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E ADAMS ST",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552150",
            "telephone_number": "573-243-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E ADAMS ST",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552150",
            "telephone_number": "573-243-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERMANN",
        "first_name": "LORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2010028672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Niehaus
• Jamie Rosanne Nipper, OTR/L
• John Franklin Niswonger, AGNP-C
• Candice O'Hare, MS, RD
• Emily Jo Obergoenner, M.A., SLP
• Franklin Jeremy Pace, ATC
• Pain Relief Clinic LLC
• Pappas Chiropractic Health Center, P.C.
• Philip Christ Pappas, DC
• Jake Ryan Partridge, M.S. SLP-CCC

• Speech-Language Pathologist in Jackson, MO
• Providers in Jackson, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.