Laura Simone Pendergraft

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2004017836 Issued in MO

Practice address

1815 Saint Eugene
Seneca, MO 64865

Phone

(417) 776-4109

Fax

(417) 776-1508

NPI assigned

Sep 27, 2007

Last updated

Sep 27, 2007By 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

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.

• Seneca R-7 School District

  • Local Education Agency (LEA)
  • Seneca, MO
  • NPI 1558558130
  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1437346012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 469",
            "city": "SENECA",
            "state": "MO",
            "postal_code": "648650469",
            "telephone_number": "417-776-4109",
            "fax_number": "417-776-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 SAINT EUGENE",
            "city": "SENECA",
            "state": "MO",
            "postal_code": "64865",
            "telephone_number": "417-776-4109",
            "fax_number": "417-776-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDERGRAFT",
        "first_name": "LAURA",
        "middle_name": "SIMONE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2004017836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth McGehee, COTA/L
• Bailey Danett Mitchell, PHARMD
• Sarah T. Moran, DO
• Ashley Neely
• Darin L Oxford, D.C.
• Koby Prater, PHARM.D.
• Seneca Family Dental Brenda Herrman, DDS, LLC
• Seneca Family Smiles P L L C
• Seneca Healthcare Center LLC
• Seneca R-7 School District

• Speech-Language Pathologist in Seneca, MO
• Providers in Seneca, 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 27, 2007; 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.