Active NPI
Cassandra Lee Williams, M.S., CF-SLP
- Speech-Language Pathologist
- Joplin, MO
National Provider Identifier
1639669807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2017022204
- Practice address
- 310 W 8TH Street
Joplin, MO 64801 - Phone
- (417) 625-5200
- NPI assigned
- May 14, 2018
- 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 | 2017022204 | MO | Primary |
Addresses
Primary practice location
310 W 8TH Street
Joplin, MO 64801
Mailing address
310 W 8TH St
Joplin, MO 64801-4302
Phone (417) 625-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017022204 | Other | MO | MISSOURI STATE BOARD OF REGISTRATION FOR THE HEALING ARTS |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017022204 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1639669807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 W 8TH ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648014302",
"telephone_number": "417-625-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 W 8TH STREET",
"city": "JOPLIN",
"state": "MO",
"postal_code": "64801",
"telephone_number": "417-625-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CASSANDRA",
"middle_name": "LEE",
"credential": "M.S., CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-14",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2017022204",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI STATE BOARD OF REGISTRATION FOR THE HEALING ARTS",
"identifier": "2017022204",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.