Individual provider Active NPI

Marie Hoyng, M.A., CCC-SLP

  • Speech-Language Pathologist
  • O Fallon, MO
National Provider Identifier
1477952885
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2016024380 Issued in MO
Practice address
2025 Hanley Rd
O Fallon, MO 63368-6734
Phone
(419) 852-5575
Fax
(636) 561-5755
NPI assigned
Aug 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2016024380 MO Primary
Speech-Language Pathologist 235Z00000X 2202007529 VA

Addresses

Primary practice location

2025 Hanley Rd
O Fallon, MO 63368-6734

Mailing address

2025 Hanley Rd
O Fallon, MO 63368-6734
Phone (419) 852-5575

Other names 1

  • Marie Moeller Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2016024380MOMDSpeech-Language Pathologist
2202007529VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1477952885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 HANLEY RD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633686734",
            "telephone_number": "419-852-5575",
            "fax_number": "636-561-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 HANLEY RD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633686734",
            "telephone_number": "419-852-5575",
            "fax_number": "636-561-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOYNG",
        "first_name": "MARIE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2016024380",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "MOELLER",
            "credential": "M.A.,CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 9, 2016; 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.