Active NPI
Michelle Drakesmith
- Speech-Language Pathologist
- Louisiana, MO
National Provider Identifier
1073054268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2016022603
- Practice address
- 2407 Kentucky St
Louisiana, MO 63353-2503 - Phone
- (573) 754-5456
- NPI assigned
- Mar 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2016022603 | MO | Primary |
Addresses
Primary practice location
2407 Kentucky St
Louisiana, MO 63353-2503
Mailing address
2407 Kentucky St
Louisiana, MO 63353-2503
Phone (573) 754-5456
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2016022603 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489968000000",
"number": "1073054268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2407 KENTUCKY ST",
"city": "LOUISIANA",
"state": "MO",
"postal_code": "633532503",
"telephone_number": "573-754-5456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2407 KENTUCKY ST",
"city": "LOUISIANA",
"state": "MO",
"postal_code": "633532503",
"telephone_number": "573-754-5456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKESMITH",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-20",
"last_updated": "2017-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2016022603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisiana, MO
- Clarksville Chiropractic Center, PC (Chiropractic Health Center)
- Community Care Center of Louisiana, Inc (Maple Grove Lodge)
- Patrick Joseph Cuppy
- DBB Pharmacies, Inc (Best Buy Pharmacy of Louisiana)
- Tara Dickherber, LPC
- Edward a. Cline, DPM, PC
- Family Health Pharmacies Inc (Family Drug)
- Family Health Pharmacies, Inc. (Family Drug)
- Reed Frederick Flaherty, RPH
- Angela Theresa Gardner, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.