Amy L Doorack

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0453912 Issued in MO

Practice address

1 Campus Dr
Wentzville, MO 63385-3415

Phone

(636) 327-3800

Fax

(636) 327-8611

NPI assigned

Sep 3, 2009

Last updated

Sep 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Wentzville R-IV School District

  • Local Education Agency (LEA)
  • Wentzville, MO
  • NPI 1942334289
  NPD (past)

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1528291721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 QUAIL RIDGE PKWY",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853541",
            "telephone_number": "636-327-3800",
            "fax_number": "636-327-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CAMPUS DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853415",
            "telephone_number": "636-327-3800",
            "fax_number": "636-327-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOORACK",
        "first_name": "AMY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "0453912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Ellen Dockler, LCSW
• Susan Dollard
• Kirsten L Donahoe, COTA/L
• Melissa Dones, BS, MA
• Joseph Franklin Doney, MS, LPC
• David Andrew Dorsey, MD
• Lauren Dowdy
• Olga Downs, FNP
• Dr Fernando Perez Magnelli LLC (Sinapsis Psychiatry)
• Dr. Joan Brower Wentzville Chiropractic & Acupuncture LLC

• Speech-Language Pathologist in Wentzville, MO
• Providers in Wentzville, 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 Sep 3, 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.