Individual provider Active NPI

Genivieve Krasinski, MHS, CF-SLP

  • Speech-Language Pathologist
  • Saint Charles, MO
National Provider Identifier
1508609447
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2024023033 Issued in MO
Practice address
3420 Harry S Truman Blvd
Saint Charles, MO 63301-4046
Phone
(636) 926-2700
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2024023033 MO Primary

Addresses

Primary practice location

3420 Harry S Truman Blvd
Saint Charles, MO 63301-4046

Mailing address

1622 High School Dr
Brentwood, MO 63144-1105

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

State licenses

LicenseStateTypeSpecialty
2024023033MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
United Services for Children Speech-Language Pathologist CurrentSince Jun 23, 2024 Accepting new patients

Locations

3420 Harry S Truman Blvd
Saint Charles, MO 63301
Phone (636) 926-2700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1508609447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 HIGH SCHOOL DR",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 HARRY S TRUMAN BLVD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014046",
            "telephone_number": "636-926-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASINSKI",
        "first_name": "GENIVIEVE",
        "credential": "MHS, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2024023033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.