Katie Lynn Hogenmiller

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2007016207 Issued in MO

Practice address

220 Locust St
Houston, MO 63090

Phone

(417) 967-3196

NPI assigned

Oct 16, 2007

Last updated

Jan 21, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Lynn Stack Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1104015106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LOCUST STREET",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "63090",
            "telephone_number": "417-967-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LOCUST ST",
            "city": "HOUSTON",
            "state": "MO",
            "postal_code": "63090",
            "telephone_number": "417-967-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGENMILLER",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2007016207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "STACK",
            "middle_name": "LYNN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary L Glover
• Grace Goslee, PHARMD
• Kristina R Grant, DO
• Stella Lee Harshbarger
• Lynn D. Hauenstein, D.O.
• Angela Jo Holden, OD
• Hometown Healthcare and Wellness Center, Inc.
• Houston No 1 Inc. (Houston House)
• Houston R-1 School District
• Houston R-I

• Speech-Language Pathologist in Houston, MO
• Providers in Houston, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.