Individual provider Active NPI

Carol Chalfant, MA,CCC-SLP

  • Speech-Language Pathologist
  • Springfield, MO
National Provider Identifier
1629605902
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
104374 Issued in MO
Practice address
3550 S National Ave Ste 200
Springfield, MO 65807-7333
Phone
(417) 269-9300
Fax
(417) 269-0582
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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 104374 MO Primary

Addresses

Primary practice location

3550 S National Ave Ste 200
Springfield, MO 65807-7333

Mailing address

3550 S National Ave Ste 200
Springfield, MO 65807-7333
Phone (417) 269-9300

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)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Health Ventures, LLC CurrentSince Mar 29, 2020 Accepting new patients
Ozark Health Ventures, LLC PastSince Mar 29, 2020 Accepting new patients

Locations

3550 S National Ave
Ste 200
Springfield, MO 65807
Phone (417) 269-9300

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1629605902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 S NATIONAL AVE STE 200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077333",
            "telephone_number": "417-269-9300",
            "fax_number": "417-269-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 S NATIONAL AVE STE 200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077333",
            "telephone_number": "417-269-9300",
            "fax_number": "417-269-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALFANT",
        "first_name": "CAROL",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "104374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.