Individual provider Active NPI

Suzanne Helfrich Feagan, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Saint Louis, MO
National Provider Identifier
1235283896
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2005029533 Issued in MO
Practice address
1320 Green Tree LN
Saint Louis, MO 63122-4745
Phone
(314) 477-4343
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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 2005029533 MO Primary

Addresses

Primary practice location

1320 Green Tree LN
Saint Louis, MO 63122-4745

Mailing address

1320 Green Tree LN
Saint Louis, MO 63122-4745
Phone (314) 477-4343

Other names 1

  • Suzanne Rene Helfrich Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
2005029533MOMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1235283896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 GREEN TREE LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631224745",
            "telephone_number": "314-477-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 GREEN TREE LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631224745",
            "telephone_number": "314-477-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEAGAN",
        "first_name": "SUZANNE",
        "middle_name": "HELFRICH",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2005029533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "HELFRICH",
            "middle_name": "RENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 28, 2016; 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.