Active NPI
Angela Rathweg Adrian, M.A., CCC-SLP
- Speech-Language Pathologist
- Saint Louis, MO
National Provider Identifier
1477698678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 119997
- Practice address
- 4714 Vienna Ave
Saint Louis, MO 63109-2712 - Phone
- (314) 749-4270
- NPI assigned
- Feb 21, 2007
- Last updated
- Feb 6, 2013
- 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 | 119997 | MO | Primary |
Addresses
Primary practice location
4714 Vienna Ave
Saint Louis, MO 63109-2712
Mailing address
4714 Vienna Ave
Saint Louis, MO 63109-2712
Phone (314) 749-4270
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)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1477698678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4714 VIENNA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631092712",
"telephone_number": "314-749-4270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4714 VIENNA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631092712",
"telephone_number": "314-749-4270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADRIAN",
"first_name": "ANGELA",
"middle_name": "RATHWEG",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "119997",
"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 Feb 6, 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.