Individual provider Active NPI

Amy Metzner-Zelle

  • Speech-Language Pathologist
  • Festus, MO
National Provider Identifier
1356546626
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0206384 Issued in MO
Practice address
1371 YMCA Dr
Festus, MO 63028-2617
Phone
(636) 465-0726
Fax
(636) 465-0747
NPI assigned
Jun 18, 2007
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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 0206384 MO Primary

Addresses

Primary practice location

1371 YMCA Dr
Festus, MO 63028-2617

Mailing address

1371 YMCA Dr
Festus, MO 63028-2617
Phone (636) 465-0726

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
0206384MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom of Speech Therapy LLC Speech-Language Pathologist CurrentSince Aug 25, 2024 Accepting new patients
Team Physical Therapy, P.C. PastSince Aug 25, 2024 Accepting new patients

Locations

1371 Ymca Dr
Festus, MO 63028
Phone (636) 465-0726

Organizations & group practices 2

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1356546626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 YMCA DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282617",
            "telephone_number": "636-465-0726",
            "fax_number": "636-465-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 YMCA DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282617",
            "telephone_number": "636-465-0726",
            "fax_number": "636-465-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZNER-ZELLE",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "0206384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.