Individual provider Active NPI

Andrea Joyce Newburry, M.A.

  • Speech-Language Pathologist
  • Osage Beach, MO
National Provider Identifier
1578159810
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2021003153 Issued in MO
Practice address
872 College Blvd
Osage Beach, MO 65065-8408
Phone
(573) 302-0900
NPI assigned
Dec 20, 2020
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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 2021003153 MO Primary

Addresses

Primary practice location

872 College Blvd
Osage Beach, MO 65065-8408

Mailing address

404 Cedar Oak CT
Saint Peters, MO 63376-1735
Phone (636) 697-6425

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219004089 MO Practitioner - Qualified Speech Language Pathologist 4486181054 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1800 1St Capitol Dr
Apt 1
Saint Charles, MO 63301-1660
Phone (636) 242-1764

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Wellness Kansas City, LLC Speech-Language Pathologist CurrentSince Dec 5, 2024 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Dec 5, 2024 Accepting new patients
Empowerme Rehabilitation Missouri LLC Speech-Language Pathologist CurrentSince Dec 5, 2024 Accepting new patients
Empowerme Rehabilitation Missouri LLC Speech-Language Pathologist CurrentSince Dec 5, 2024 Accepting new patients
Choice Rehabilitation LLC Speech-Language Pathologist CurrentSince Dec 8, 2024 Accepting new patients

Locations

16255 Chesterfield Pkwy W
Chesterfield, MO 63017
Phone (636) 812-6942

12400 Olive Blvd
Ste 425
Saint Louis, MO 63141
Phone (314) 275-9000

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

6825 Natural Bridge Rd
Saint Louis, MO 63121
Phone (314) 383-4765

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1578159810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CEDAR OAK CT",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761735",
            "telephone_number": "636-697-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 COLLEGE BLVD",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650658408",
            "telephone_number": "573-302-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBURRY",
        "first_name": "ANDREA",
        "middle_name": "JOYCE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-20",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2021003153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osage Beach, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.