Justin Levi Golay

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2017022088 Issued in MO

Practice address

1505 E Barnes St
Ozark, MO 65721-6660

Phone

(417) 655-4146

NPI assigned

Apr 4, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576886400000",
    "number": "1376049544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 E BARNES ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657216660",
            "telephone_number": "417-655-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 E BARNES ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657216660",
            "telephone_number": "417-655-4146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 N 25th St",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "MO",
            "postal_code": "657218033",
            "country_code": "US",
            "telephone_number": "417-581-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLAY",
        "first_name": "JUSTIN",
        "middle_name": "LEVI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2017022088",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Leanna Gibson, RN
• Cynthia J Gibson
• Cody L Giedd, PA-C
• Shannon Nicole Gigliotti, RDN
• Ryan Elizabeth Gillund
• Samuel Denton Goode
• Makenna Goodman, MS
• Audrey L. Gordin, MD
• Jay Gore
• Katie Gorman

• Speech-Language Pathologist in Ozark, MO
• Providers in Ozark, 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 Dec 21, 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.

Verify at the official NPI Registry.