Rachel N Stauffenberg

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2019020278 Issued in MO

Practice address

650 Vineland School Rd
De Soto, MO 63020-2561

Phone

(636) 586-1010

NPI assigned

Jun 17, 2019

Last updated

Sep 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1326608985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 SUMMERFIELD CT",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "630522126",
            "telephone_number": "636-209-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 VINELAND SCHOOL RD",
            "city": "DE SOTO",
            "state": "MO",
            "postal_code": "630202561",
            "telephone_number": "636-586-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUFFENBERG",
        "first_name": "RACHEL",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2019020278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in De Soto, MO
• Providers in De Soto, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.