Active NPI
Angela Castulik
- Speech-Language Pathologist
- Chesterfield, MO
National Provider Identifier
1386091528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- MO2012023557
- Practice address
- 16216 Baxter Rd Ste 330
Chesterfield, MO 63017-4778 - Phone
- (636) 733-3330
- NPI assigned
- May 18, 2016
- Last updated
- May 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | MO2012023557 | MO | Primary |
Addresses
Primary practice location
16216 Baxter Rd Ste 330
Chesterfield, MO 63017-4778
Mailing address
16216 Baxter Rd Ste 330
Chesterfield, MO 63017-4778
Phone (636) 733-3330
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
| License | State | Type | Specialty |
|---|---|---|---|
| MO2012023557 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463529600000",
"number": "1386091528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16216 BAXTER RD STE 330",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630174778",
"telephone_number": "636-733-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16216 BAXTER RD STE 330",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630174778",
"telephone_number": "636-733-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTULIK",
"first_name": "ANGELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-18",
"last_updated": "2016-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "MO2012023557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
- Angela Cartwright, D.O.
- Brenda Lee Casey, MSW LCSW
- Katie Rose Casey, NP-C
- Colleen Ann Cashner, RN, BSN, CCM
- Jamie Joyner Cassell, RD, LD, CDE
- Rachael Lynne Catanzaro, PHARMD
- Catherine Hood Judkins, PH.D., L.L.C.
- Sarah Mae Catlett, LBA, BCBA
- Bonnie Cella, MSN, RN, FNP-C
- Central Orthopedics and Sports Medicine PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.