Active NPI
Kathy Mitchell
- Speech-Language Assistant
- Sarcoxie, MO
National Provider Identifier
1144018672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 2022013579
- Practice address
- 101 S 17TH St
Sarcoxie, MO 64862-9649 - Phone
- (417) 548-3134
- NPI assigned
- Apr 25, 2025
- Last updated
- Apr 25, 2025
- 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 Assistant | 2355S0801X | 2022013579 | MO | Primary |
Addresses
Primary practice location
101 S 17TH St
Sarcoxie, MO 64862-9649
Mailing address
1141 E 1St St
Carterville, MO 64835-1654
Phone (417) 622-3196
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 |
|---|---|---|---|
| 2022013579 | MO | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1144018672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 E 1ST ST",
"city": "CARTERVILLE",
"state": "MO",
"postal_code": "648351654",
"telephone_number": "417-622-3196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S 17TH ST",
"city": "SARCOXIE",
"state": "MO",
"postal_code": "648629649",
"telephone_number": "417-548-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "KATHY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-25",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "MO",
"license": "2022013579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarcoxie, MO
- Anew Healthcare Operations - Sarcoxie, LLC
- Melanie Ann Billquist, LPC
- Shelley Engle, PHARMD
- Main Sail Enterprises LLC (Sarcoxie Pharmacy)
- Main Sail Enterprises LLC (Sarcoxie Pharmacy)
- Debra Lynn Royce, MD
- Sarcoxie Health Care Center, L.L.C. (Sarcoxie Health Care Center)
- Sarcoxie Nursing Center, LLC
- Sarcoxie R-II School District
- Sarcoxie SNF Opco LLC (Sarcoxie Health Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.