Patti Ann Carbol, M.S.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01151 Issued in MO

Practice address

850 Country Manor LN
Creve Coeur, MO 63141-6651

Phone

(314) 434-5900

NPI assigned

Feb 18, 2013

Last updated

Feb 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1437499134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 BEACONGROVE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463637",
            "telephone_number": "314-542-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 COUNTRY MANOR LN",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416651",
            "telephone_number": "314-434-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBOL",
        "first_name": "PATTI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.S.CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "01151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Larue Burney, ATC
• Hannah Byers, NP
• Alfredo Rene Calderon, DDS
• Jennifer Patricia Campbell, MA, LPC, CCDP-D
• Rosemary Louise Cannistraro, M.D. PHD
• Care Pharmaccyllc
• Care Pharmacy LLC
• Carepartners & Co., LLC
• Carlos a. Maitz M.D.
• Jaime L Carmody, M.S.,CCC-A

• Speech-Language Pathologist in Creve Coeur, MO
• Providers in Creve Coeur, 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 Feb 18, 2013; 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.