Active NPI
Unknown Rincy Sibu
- Speech-Language Pathologist
- Chesterfield, MO
National Provider Identifier
1609428945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2018041368
- Practice address
- 16216 Baxter Rd Ste 330
Chesterfield, MO 63017-4778 - Phone
- (636) 733-3330
- Fax
- (636) 733-3332
- NPI assigned
- Jul 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2018041368 | MO | Primary |
Addresses
Primary practice location
16216 Baxter Rd Ste 330
Chesterfield, MO 63017-4778
Mailing address
1933 Encanto Dr
#8
Maryland Heights, MO 63043
Phone (314) 737-6968
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2018041368 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1609428945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1933 ENCANTO DR",
"address_2": "#8",
"city": "MARYLAND HEIGHTS",
"state": "MO",
"postal_code": "63043",
"telephone_number": "314-737-6968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16216 BAXTER RD STE 330",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630174778",
"telephone_number": "636-733-3330",
"fax_number": "636-733-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINCY SIBU",
"first_name": "UNKNOWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2018041368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.