Ellison Brunkhorst

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1700 W Ashley Rd
Boonville, MO 65233-2162

Phone

(660) 882-2744

NPI assigned

Jul 29, 2021

Last updated

Jul 29, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1437822939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27491 HIGHWAY CC",
            "city": "CONCORDIA",
            "state": "MO",
            "postal_code": "640206409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W ASHLEY RD",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652332162",
            "telephone_number": "660-882-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNKHORST",
        "first_name": "ELLISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ellison.brunkhorst@bpsk12.net",
            "affiliation": "N",
            "address_1": "1700 W Ashley Rd",
            "city": "Boonville",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652332162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Boonville, MO
• Providers in Boonville, 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 Jul 29, 2021; 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.