Active NPI
Sarah Kistenmacher, M.S. CF-SLP
- Speech-Language Pathologist
- O Fallon, MO
National Provider Identifier
1295381788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2019027224
- Practice address
- 7396 Twin Chimneys Blvd
O Fallon, MO 63368-6112 - Phone
- (636) 240-0093
- NPI assigned
- Aug 12, 2019
- 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 | 2019027224 | MO | Primary |
Addresses
Primary practice location
7396 Twin Chimneys Blvd
O Fallon, MO 63368-6112
Mailing address
403 Misty Valley Dr
Saint Peters, MO 63376-5328
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 |
|---|---|---|---|
| 2019027224 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1295381788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 MISTY VALLEY DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633765328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7396 TWIN CHIMNEYS BLVD",
"city": "O FALLON",
"state": "MO",
"postal_code": "633686112",
"telephone_number": "636-240-0093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISTENMACHER",
"first_name": "SARAH",
"credential": "M.S. CF-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-12",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2019027224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.