Active NPI
Margaret Ann Wilson, CCC SLP
- Speech-Language Pathologist
- O'Fallon, MO
National Provider Identifier
1457482283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01900
- Practice address
- Ft Zumwalt R-II
110 Virgil St
O Fallon, MO 63366-2637 - Phone
- (636) 272-1059
- Fax
- (636) 980-1946
- NPI assigned
- Mar 7, 2007
- Last updated
- Feb 19, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 01900 | MO | Primary |
Addresses
Primary practice location
Ft Zumwalt R-II
110 Virgil St
O Fallon, MO 63366-2637
Mailing address
110 Virgil St
O Fallon, MO 63366-2637
Phone (636) 272-1059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 465425601 | Medicaid | MO |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235001600000",
"number": "1457482283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 VIRGIL ST",
"city": "O FALLON",
"state": "MO",
"postal_code": "633662637",
"telephone_number": "636-272-1059",
"fax_number": "636-980-1946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FT ZUMWALT R-II",
"address_2": "110 VIRGIL ST",
"city": "O FALLON",
"state": "MO",
"postal_code": "633662637",
"telephone_number": "636-272-1059",
"fax_number": "636-980-1946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MARGARET",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2009-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "01900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "465425601",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in O'Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.