Individual provider Active NPI

Lacy Elizabeth Schoreder

  • Speech-Language Pathologist
  • Warrenton, MO
National Provider Identifier
1033233663
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2006006980 Issued in MO
Practice address
302 Kuhl Ave
Warrenton, MO 63383-2116
Phone
(636) 456-4311
Fax
(636) 456-0861
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2006006980 MO Primary

Addresses

Primary practice location

302 Kuhl Ave
Warrenton, MO 63383-2116

Mailing address

302 Kuhl Ave
Warrenton, MO 63383-2116
Phone (636) 456-4311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2006006980MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Warren County R-III School District Past Accepting new patients
Powderly and Associates Incorporated Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033233663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 KUHL AVE",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "633832116",
            "telephone_number": "636-456-4311",
            "fax_number": "636-456-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 KUHL AVE",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "633832116",
            "telephone_number": "636-456-4311",
            "fax_number": "636-456-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOREDER",
        "first_name": "LACY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2006006980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.