Individual provider Active NPI

Clare Marie Salley, BSC (HONS)

  • Speech-Language Pathologist
  • Saint Louis, MO
National Provider Identifier
1326457177
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2014013953 Issued in MO
Practice address
5673 Waterman Blvd
Unit 31
St Louis, MO 63112
Phone
(857) 225-3961
NPI assigned
Aug 6, 2014
Last updated
Aug 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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 2014013953 MO Primary

Addresses

Primary practice location

5673 Waterman Blvd
Unit 31
St Louis, MO 63112

Mailing address

5673 Waterman Blvd
Unit 31
St Louis, MO 63112
Phone (857) 225-3961

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

State licenses

LicenseStateTypeSpecialty
2014013953MOMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1326457177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5673 WATERMAN BLVD",
            "address_2": "UNIT 31",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63112",
            "telephone_number": "857-225-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 WATERMAN BLVD",
            "address_2": "UNIT 31",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63112",
            "telephone_number": "857-225-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEY",
        "first_name": "CLARE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "BSC (HONS)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2014013953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 6, 2014; 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.