Individual provider Active NPI

Catherine Dulle

  • Speech-Language Pathologist
  • Saint Louis, MO
National Provider Identifier
1447630629
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
00816 Issued in MO
Practice address
605 Coeur de Ville Dr
Rehab Department
Saint Louis, MO 63141-6603
Phone
(314) 453-7311
Fax
(314) 548-6755
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 00816 MO Primary

Addresses

Primary practice location

605 Coeur de Ville Dr
Rehab Department
Saint Louis, MO 63141-6603

Mailing address

2127 Innerbelt Business Center Dr
Suite 320
Saint Louis, MO 63114-5700
Phone (314) 898-3944

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

State licenses

LicenseStateTypeSpecialty
00816MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmington Sports and Rehabilitation Joint Venture Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1447630629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 INNERBELT BUSINESS CENTER DR",
            "address_2": "SUITE 320",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145700",
            "telephone_number": "314-898-3944",
            "fax_number": "314-506-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 COEUR DE VILLE DR",
            "address_2": "REHAB DEPARTMENT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416603",
            "telephone_number": "314-453-7311",
            "fax_number": "314-548-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULLE",
        "first_name": "CATHERINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "00816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.