Active NPI
Molly Ann Tessin
- Speech-Language Pathologist
- Saint Louis, MO
National Provider Identifier
1619581410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2020015995
- Practice address
- 5910 Clifton Ave
Saint Louis, MO 63109-3407 - Phone
- (314) 352-1043
- NPI assigned
- Aug 31, 2020
- 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 | 2020015995 | MO | Primary |
Addresses
Primary practice location
5910 Clifton Ave
Saint Louis, MO 63109-3407
Mailing address
11960 Westline Industrial Dr Ste 201
Saint Louis, MO 63146-3209
Other practice location 1
5245 Murdoch Ave Apt B
Saint Louis, MO 63109-2950
Phone (513) 545-6030
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | tessinm95@gmail.com |
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 |
|---|---|---|---|
| 2020015995 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1619581410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11960 WESTLINE INDUSTRIAL DR STE 201",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631463209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5910 CLIFTON AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631093407",
"telephone_number": "314-352-1043"
}
],
"practiceLocations": [
{
"address_1": "5245 Murdoch Ave Apt B",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631092950",
"country_code": "US",
"telephone_number": "513-545-6030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TESSIN",
"first_name": "MOLLY",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-31",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2020015995",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "tessinm95@gmail.com",
"affiliation": "N",
"address_1": "5245 Murdoch Ave Apt B",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631092950",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
- Tes Real Estate Services LLC D/B/a Better Day Adult Center Inc.
- Besu Teshome, PHARM.D.
- Teshuvah Healthcare LLC
- Deron J Tessier, MD
- John E Tessier, M.D.
- Tesson Heights Orthopaedic & Arthroscopic Associates PC
- Tesson Heights Orthopedic
- Chelsea Rana Testorff, COUNSELOR INTERN
- Paivi A. Tetri, M.S.W., L.C.S.W
- Stephanie Anne Tetteroo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.