Active NPI
Karen Elizabeth McPhearson, M.S., CCC-SLP
- Speech-Language Pathologist
- Saint Louis, MO
National Provider Identifier
1124684873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 20200018536
- Practice address
- 1419 Yale Ave
Saint Louis, MO 63117-2328 - Phone
- (580) 302-4417
- NPI assigned
- May 17, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 20200018536 | MO | Primary |
Addresses
Primary practice location
1419 Yale Ave
Saint Louis, MO 63117-2328
Mailing address
1419 Yale Ave
Saint Louis, MO 63117-2328
Phone (580) 302-4417
Other practice location 1
2425 E Southlake Blvd
Southlake, TX 76092-6674
Phone (817) 442-0222
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20200018536 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediaplex Management Company LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Monkey Mouths, PLLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Hurst, TX
- NPI 1164613253
-
- Speech-Language Pathologist
- Southlake, TX
- NPI 1821374687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1124684873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 YALE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631172328",
"telephone_number": "580-302-4417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 YALE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631172328",
"telephone_number": "580-302-4417"
}
],
"practiceLocations": [
{
"address_1": "2425 E Southlake Blvd",
"address_purpose": "LOCATION",
"city": "Southlake",
"state": "TX",
"postal_code": "760926674",
"country_code": "US",
"telephone_number": "817-442-0222",
"fax_number": "817-442-0222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCPHEARSON",
"first_name": "KAREN",
"middle_name": "ELIZABETH",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-17",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "20200018536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.