Andrea Gast, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

114060 Issued in MO

Practice address

605 Calamar CT
O Fallon, MO 63368-7088

Phone

(314) 265-6440

NPI assigned

May 11, 2009

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

Other identifiers 2

Other names 1

• Andrea D'Angelo Former name

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": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242000000000",
    "number": "1467686055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 CALAMAR CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687088",
            "telephone_number": "314-265-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 CALAMAR CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687088",
            "telephone_number": "314-265-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAST",
        "first_name": "ANDREA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2009-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "114060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "09145765",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MISSOURI  114060",
            "identifier": "114060",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "D'ANGELO",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marileana Garcia Corretjer, DDS
• Garden View Care Center, Inc.
• Garden Villas of O'Fallon, LLC
• Makenzie Kaye Garrison, CNP
• Carol Wright Gasser, LPC
• Gateway to Care Management LLC
• Karin Gauen, DPT
• Nicole Gebhardt, DPT
• Michael Geiler
• Gregory P Genova, M.D.

• Speech-Language Pathologist in O Fallon, MO
• Providers in O Fallon, 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 May 11, 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.

Verify at the official NPI Registry.