Active NPI
Makenna Goodman, MS
- Speech-Language Pathologist
- Ozark, MO
National Provider Identifier
1144909953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2023029160
- Practice address
- 4101 N State Highway NN Ste 101
Ozark, MO 65721-7198 - Phone
- (417) 744-9284
- NPI assigned
- Jul 18, 2023
- 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 | 2024033143 | MO | |
| Speech-Language Pathologist | 235Z00000X | 2023029160 | MO | Primary |
Addresses
Primary practice location
4101 N State Highway NN Ste 101
Ozark, MO 65721-7198
Mailing address
4101 N State Highway NN Ste 101
Ozark, MO 65721-7198
Phone (417) 744-9284
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 |
|---|---|---|---|
| 2023029160 | MO | MD | Speech-Language Pathologist |
| 2024033143 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark Speak Easy, LLC | Current | Accepting new patients |
Locations
1847 N Commerce Dr
Nixa, MO 65714
4101 N State Highway NN
Ste 101
Ozark, MO 65721
Phone (417) 744-9284
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": "1689638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1144909953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 N STATE HIGHWAY NN STE 101",
"city": "OZARK",
"state": "MO",
"postal_code": "657217198",
"telephone_number": "417-744-9284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 N STATE HIGHWAY NN STE 101",
"city": "OZARK",
"state": "MO",
"postal_code": "657217198",
"telephone_number": "417-744-9284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "MAKENNA",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-18",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2024033143",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2023029160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ozark, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.