Cynthia June Coffman, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2004006662 Issued in MO

Practice address

230 Reedway LN
Kirkwood, MO 63122-2614

Phone

(314) 471-4959

NPI assigned

Dec 12, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1649516014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 REEDWAY LN",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631222614",
            "telephone_number": "314-471-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 REEDWAY LN",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631222614",
            "telephone_number": "314-471-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "CYNTHIA",
        "middle_name": "JUNE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2004006662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MISSOURI LICENSE NO.",
            "identifier": "2004006662",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Marie Cisne
• City of Kirkwood
• Anna Christine Clark, RBT
• Clarkson Optometry Inc
• Mike Kurel Cockson, LPC
• Janet L Collier, O.D.
• Cara Conde, MA, LPC
• Steven R Connelly, DMD
• Nancy Rumsey Cooksey, BSN, RN
• Cooperative Therapy LLC

• Speech-Language Pathologist in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.