NPIMap

Organization Active NPI

Exceptional Equestrians of the Missouri Valley, Inc.

  • Speech-Language Pathologist
  • Washington, MO
National Provider Identifier
1053799833
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2011018918 Issued in MO
Legal business name
EXCEPTIONAL EQUESTRIANS OF THE MISSOURI VALLEY, INC.
Practice address
785 Yellow Finch LN
Washington, MO 63090-5457
Phone
(636) 390-2141
Fax
(636) 239-7011
NPI assigned
May 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Kyla Somerville, SLP-A
Title
Admin. Manager
Phone
(636) 390-2141

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 2355S0801X 2015009737 MO
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 2011018918 MO Primary

Addresses

Primary practice location

785 Yellow Finch LN
Washington, MO 63090-5457

Mailing address

785 Yellow Finch LN
Washington, MO 63090-5457
Phone (636) 390-2141

Other names 1

  • EEMV Therapy Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1053799833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 YELLOW FINCH LN",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630905457",
            "telephone_number": "636-390-2141",
            "fax_number": "636-239-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 YELLOW FINCH LN",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630905457",
            "telephone_number": "636-390-2141",
            "fax_number": "636-239-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL EQUESTRIANS OF THE MISSOURI VALLEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "SOMERVILLE",
        "authorized_official_first_name": "KYLA",
        "authorized_official_title_or_position": "ADMIN. MANAGER",
        "authorized_official_telephone_number": "636-390-2141",
        "authorized_official_credential": "SLP-A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "MO",
            "license": "2015009737",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2011018918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EEMV Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.