Active NPI
Snow D Payne, MA CCC SLP
- Speech-Language Pathologist
- Chesterfield, MO
National Provider Identifier
1265565030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 776
- Practice address
- 16216 Baxter Rd
Suite 330
Chesterfield, MO 63017-4770 - Phone
- (636) 733-3330
- Fax
- (636) 733-3332
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Pathologist | 235Z00000X | 776 | NM | Primary |
Addresses
Primary practice location
16216 Baxter Rd
Suite 330
Chesterfield, MO 63017-4770
Mailing address
1820 Ridgeview Circle Dr
Ballwin, MO 63021-7809
Phone (536) 594-5280
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
| License | State | Type | Specialty |
|---|---|---|---|
| 776 | NM | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239580800000",
"number": "1265565030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 RIDGEVIEW CIRCLE DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630217809",
"telephone_number": "536-594-5280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16216 BAXTER RD",
"address_2": "SUITE 330",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630174770",
"telephone_number": "636-733-3330",
"fax_number": "636-733-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "SNOW",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "MA CCC SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2009-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.