Abby Lynn Bagby

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2023038363 Issued in MO

Practice address

101 Indian Warpath Dr
Pacific, MO 63069-3463

Phone

(636) 271-1434

NPI assigned

Sep 20, 2023

Last updated

Sep 20, 2023By 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

Other names 1

• Abby Lynn Beutjer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Confident American English, LLC

  dba ShowMe Therapy Services

  • Multi-Specialty Clinic/Center
  • Washington, MO
  • NPI 1477175594
  NPD (past)

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1386422343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6703 FRANKS RD",
            "city": "BYRNES MILL",
            "state": "MO",
            "postal_code": "630511004",
            "telephone_number": "678-689-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 INDIAN WARPATH DR",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630693463",
            "telephone_number": "636-271-1434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 Jefferson St Ste 103A",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MO",
            "postal_code": "630904443",
            "country_code": "US",
            "telephone_number": "636-283-0211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGBY",
        "first_name": "ABBY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2023038363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "BEUTJER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara Ann Bailey, MSW
• Erica Ann Biggs
• Birdsong Rexall Pharmacy Inc (Birdsong Pharmacy Inc)
• Bischof Chiropractic and Family Health Care
• Diann Elaine Bischof, D.C.

• Speech-Language Pathologist in Pacific, MO
• Providers in Pacific, 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 20, 2023; 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.