Individual provider Active NPI

Karla Kay McKeirnan

  • Speech-Language Pathologist
  • Saint Louis, MO
National Provider Identifier
1386250553
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
HE01283 Issued in MO
Practice address
2 Nazareth LN
Saint Louis, MO 63129-7600
Phone
(314) 649-4633
Fax
(314) 487-8001
NPI assigned
Sep 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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 HE01283 MO Primary

Addresses

Primary practice location

2 Nazareth LN
Saint Louis, MO 63129-7600

Mailing address

715 Fannie Ave
Saint Louis, MO 63125-1203
Phone (314) 637-6907

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
HE01283MOMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1386250553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 FANNIE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631251203",
            "telephone_number": "314-637-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 NAZARETH LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631297600",
            "telephone_number": "314-649-4633",
            "fax_number": "314-487-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEIRNAN",
        "first_name": "KARLA",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "HE01283",
            "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 Sep 22, 2020; 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.