Active NPI
Amy Christina Herren, MS, CCC-SLP
- Speech-Language Pathologist
- Cape Girardeau, MO
National Provider Identifier
1396262705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2017030809
- Practice address
- 1 University PLZ
Cape Girardeau, MO 63701-4710 - Phone
- (573) 651-2803
- NPI assigned
- Aug 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2017030809 | MO | Primary |
| Speech-Language Pathologist | 235Z00000X | SP10395 | OH |
Addresses
Primary practice location
1 University PLZ
Cape Girardeau, MO 63701-4710
Mailing address
1 University PLZ # Ms 2600
Cape Girardeau, MO 63701-4710
Phone (513) 382-4674
Other names 1
- Ms. Amy C Warren
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017030809 | MO | MD | Speech-Language Pathologist |
| SP10395 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503619200000",
"number": "1396262705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 UNIVERSITY PLZ # MS 2600",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637014710",
"telephone_number": "513-382-4674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNIVERSITY PLZ",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637014710",
"telephone_number": "573-651-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERREN",
"first_name": "AMY",
"middle_name": "CHRISTINA",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2017-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2017030809",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP10395",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "WARREN",
"middle_name": "C",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.