Organization Active NPI

Speech & Myofunctional Therapy of Des Moines

  • Speech-Language Pathologist
  • West Des Moines, IA
National Provider Identifier
1497403703
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH & MYOFUNCTIONAL THERAPY OF DES MOINES
Practice address
1501 42ND St Ste 470
West Des Moines, IA 50266-1090
Phone
(515) 493-9347
NPI assigned
Mar 15, 2022
Last updated
Mar 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Katie Husk, SLPNPI 1972193225
Title
Owner
Phone
(515) 493-9347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1501 42ND St Ste 470
West Des Moines, IA 50266-1090

Mailing address

1501 42ND St Ste 470
West Des Moines, IA 50266-1090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220706001096 IA Part B Supplier - Clinic/Group Practice 3274913462 Receives reassigned benefits from 4 practitioners
Practice locations: West Des Moines, IA

National Provider Directory

National Provider Directory

Locations

1501 42nd St
Ste 110B
West Des Moines, IA 50266
Phone (515) 493-9347

1501 42nd St
Ste 470
West Des Moines, IA 50266
Phone (515) 402-4000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1497403703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 42ND ST STE 470",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 42ND ST STE 470",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661090",
            "telephone_number": "515-493-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH & MYOFUNCTIONAL THERAPY OF DES MOINES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "HUSK",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-493-9347",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.