NPIMap

Organization Active NPI

Speech Works

  • Speech-Language Pathologist
  • O'Fallon, MO
National Provider Identifier
1316584402
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH WORKS
Practice address
8124 Knights Crossing CT
O Fallon, MO 63368-6225
Phone
(636) 346-2219
NPI assigned
Dec 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Corey Charles Bolen, MA CCC-SLPNPI 1851519581
Title
Owner
Phone
(636) 346-2219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

8124 Knights Crossing CT
O Fallon, MO 63368-6225

Mailing address

8124 Knights Crossing CT
O Fallon, MO 63368-6225
Phone (636) 346-2219

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1575763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1316584402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8124 KNIGHTS CROSSING CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633686225",
            "telephone_number": "636-346-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8124 KNIGHTS CROSSING CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633686225",
            "telephone_number": "636-346-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH WORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-08",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "BOLEN",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-346-2219",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "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 28, 2023; 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.