Ngozi Ijei, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2019029976 Issued in MO

Practice address

16375 Pierside LN
Grover, MO 63040-1600

Phone

(636) 405-2701

Fax

(636) 422-1223

NPI assigned

Aug 5, 2019

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

Electronic endpoints 1

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.

• Howard Park Early Intervention Center

  • Voluntary or Charitable Agency
  • Fenton, MO
  • NPI 1396739124

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1013562362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16375 PIERSIDE LN",
            "city": "GROVER",
            "state": "MO",
            "postal_code": "630401600",
            "telephone_number": "636-405-2701",
            "fax_number": "636-422-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16375 PIERSIDE LN",
            "city": "GROVER",
            "state": "MO",
            "postal_code": "630401600",
            "telephone_number": "636-405-2701",
            "fax_number": "636-422-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IJEI",
        "first_name": "NGOZI",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2019029976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssimmons@howardparkcenter.org",
            "affiliation": "N",
            "address_1": "16375 Pierside Ln",
            "city": "Grover",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630401600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lorel Grace Dierker
• George Lewis Ellis, DDS
• Latisha Louise Fontana, M.ED. L.P.C.
• Jordan Fredrickson
• Susan R Hull, DO
• Amy E Kinsey, FNP
• Rodney Glenn Lofton, DDS
• Gerald S Lowther, MD
• Raymond Joseph Marey, D. D. S.
• Lucas J Meyer, D.M.D.

• Speech-Language Pathologist in Grover, MO
• Providers in Grover, 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 5, 2019; 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.