Individual provider Active NPI

Linda Sue Munkers

  • Speech-Language Pathologist
  • Eldon, MO
National Provider Identifier
1073717898
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01948 Issued in MO
Practice address
Eldon R-I
110 S Oak St
Eldon, MO 65026-1576
Phone
(573) 392-8003
Fax
(573) 392-8080
NPI assigned
Jun 14, 2007
Last updated
Feb 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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 01948 MO Primary

Addresses

Primary practice location

Eldon R-I
110 S Oak St
Eldon, MO 65026-1576

Mailing address

110 S Oak St
Eldon, MO 65026-1576
Phone (573) 392-8003

Other identifiers 1

IdentifierTypeStateIssuer
463402818MedicaidMO

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
01948MOMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1073717898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S OAK ST",
            "city": "ELDON",
            "state": "MO",
            "postal_code": "650261576",
            "telephone_number": "573-392-8003",
            "fax_number": "573-392-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELDON R-I",
            "address_2": "110 S OAK ST",
            "city": "ELDON",
            "state": "MO",
            "postal_code": "650261576",
            "telephone_number": "573-392-8003",
            "fax_number": "573-392-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNKERS",
        "first_name": "LINDA",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "01948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "463402818",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.