Individual provider Active NPI

Kathryn Luanne Brown, M.S. CF-SLP

  • Speech-Language Pathologist
  • Pacific, MO
National Provider Identifier
1134958960
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2024022645 Issued in MO
Practice address
126 N Payne St
Pacific, MO 63069-1260
Phone
(636) 271-1400
Fax
(636) 271-1406
NPI assigned
Jul 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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 2024022645 MO Primary

Addresses

Primary practice location

126 N Payne St
Pacific, MO 63069-1260

Mailing address

502 Huntercreek Ridge CT
Saint Louis, MO 63131-2232
Phone (314) 775-8950

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

LicenseStateTypeSpecialty
2024022645MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Meramec Valley R3 School District CurrentSince Aug 4, 2024 Accepting new patients

Locations

126 N Payne St
Pacific, MO 63069
Phone (636) 271-1400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1134958960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 HUNTERCREEK RIDGE CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312232",
            "telephone_number": "314-775-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N PAYNE ST",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691260",
            "telephone_number": "636-271-1400",
            "fax_number": "636-271-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KATHRYN",
        "middle_name": "LUANNE",
        "credential": "M.S. CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2024022645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.