Individual provider Active NPI

Ashley Lyn Maxon

  • Speech-Language Pathologist
  • Pleasant Hill, MO
National Provider Identifier
1295164739
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2013024716 Issued in MO
Practice address
318 Cedar St
Special Services -- Claim Care
Pleasant Hill, MO 64080-1227
Phone
(816) 540-3161
Fax
(816) 540-5135
NPI assigned
Nov 5, 2013
Last updated
Dec 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 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 2013024716 MO Primary

Addresses

Primary practice location

318 Cedar St
Special Services -- Claim Care
Pleasant Hill, MO 64080-1227

Mailing address

318 Cedar St
Special Services -- Claim Care
Pleasant Hill, MO 64080-1227
Phone (816) 540-3161

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3501KSMDChiropractor
2013024716MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
School Dist R 3 Pleasant Hill Speech-Language Pathologist 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": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1295164739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 CEDAR ST",
            "address_2": "SPECIAL SERVICES -- CLAIM CARE",
            "city": "PLEASANT HILL",
            "state": "MO",
            "postal_code": "640801227",
            "telephone_number": "816-540-3161",
            "fax_number": "816-540-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 CEDAR ST",
            "address_2": "SPECIAL SERVICES -- CLAIM CARE",
            "city": "PLEASANT HILL",
            "state": "MO",
            "postal_code": "640801227",
            "telephone_number": "816-540-3161",
            "fax_number": "816-540-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXON",
        "first_name": "ASHLEY",
        "middle_name": "LYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2013024716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.