Individual provider Active NPI

Sharon K Musgraves

  • Speech-Language Pathologist
  • New Madrid, MO
National Provider Identifier
1144353376
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
113937 Issued in MO
Practice address
310 US Highway 61
New Madrid, MO 63869-9753
Phone
(573) 688-2161
Fax
(573) 688-2169
NPI assigned
Mar 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 113937 MO Primary

Addresses

Primary practice location

310 US Highway 61
New Madrid, MO 63869-9753

Mailing address

310 US Highway 61
New Madrid, MO 63869-9753
Phone (573) 688-2161

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
113937MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Madrid County R-1 School District Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144353376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 US HIGHWAY 61",
            "city": "NEW MADRID",
            "state": "MO",
            "postal_code": "638699753",
            "telephone_number": "573-688-2161",
            "fax_number": "573-688-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 US HIGHWAY 61",
            "city": "NEW MADRID",
            "state": "MO",
            "postal_code": "638699753",
            "telephone_number": "573-688-2161",
            "fax_number": "573-688-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSGRAVES",
        "first_name": "SHARON",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "113937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Madrid, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.