NPIMap

Organization Active NPI

Serenity Speech and Language Therapy LLC

  • Speech-Language Pathologist
  • Gower, MO
National Provider Identifier
1053910422
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SERENITY SPEECH AND LANGUAGE THERAPY LLC
Practice address
8965 W Highway 116
Gower, MO 64454-8483
Phone
(816) 462-8111
NPI assigned
Oct 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

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

Authorized official

Name
Shelby R Stangl, MS, CCC-SLPNPI 1154920528
Title
Speech Language Pathologist
Phone
(816) 462-8111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

8965 W Highway 116
Gower, MO 64454-8483

Mailing address

8965 W Highway 116
Gower, MO 64454-8483

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": "1602979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602979200000",
    "number": "1053910422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8965 W HIGHWAY 116",
            "city": "GOWER",
            "state": "MO",
            "postal_code": "644548483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8965 W HIGHWAY 116",
            "city": "GOWER",
            "state": "MO",
            "postal_code": "644548483",
            "telephone_number": "816-462-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SPEECH AND LANGUAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-18",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A",
        "authorized_official_last_name": "STANGL",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "816-462-8111",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gower, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; 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.