Johanna Conine

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0355865 Issued in MO

Practice address

497 Joachim Ave
Herculaneum, MO 63048-1034

Phone

(636) 479-5200

NPI assigned

Apr 25, 2008

Last updated

May 18, 2020By 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

Electronic endpoints 1

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.

• Dunklin R-5 School District

  • Local Education Agency (LEA)
  • Herculaneum, MO
  • NPI 1083866214
  NPD (past)
• Special School District of St. Louis County

  • Local Education Agency (LEA)
  • Saint Louis, MO
  • NPI 1922128354
  NPD (past)

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1548435936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 JOACHIM AVE",
            "city": "HERCULANEUM",
            "state": "MO",
            "postal_code": "630481034",
            "telephone_number": "636-479-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 JOACHIM AVE",
            "city": "HERCULANEUM",
            "state": "MO",
            "postal_code": "630481034",
            "telephone_number": "636-479-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12110 Clayton Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631312516",
            "country_code": "US",
            "telephone_number": "314-989-8150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONINE",
        "first_name": "JOHANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "0355865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pevely",
            "affiliation": "N",
            "address_1": "497 Joachim Ave",
            "city": "Herculaneum",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630481034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Ann Barrett, LPN
• Angela Aileen Berry
• Compass Health, Inc
• Dunklin R-5 School District
• Deborah Lee Ebert Grommet, D.C.
• Edwardo D Verzola MD PC
• Emerituscorporation (AutumnRidge)
• Kellen Gatzemeyer

• Speech-Language Pathologist in Herculaneum, MO
• Providers in Herculaneum, 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 May 18, 2020; 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.