Vanessa Monique Barraza, MD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2023035403 Issued in MO

Practice address

690 Missouri Ave Ste 11
Saint Robert, MO 65584-4680

Phone

(559) 544-4913

NPI assigned

Sep 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Speech House, LLC

  • Speech-Language Pathologist
  • Saint Robert, MO
  • NPI 1952726887
  NPD

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1669258299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 MISSOURI AVE STE 11",
            "city": "SAINT ROBERT",
            "state": "MO",
            "postal_code": "655844680",
            "telephone_number": "573-336-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 MISSOURI AVE STE 11",
            "city": "SAINT ROBERT",
            "state": "MO",
            "postal_code": "655844680",
            "telephone_number": "559-544-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAZA",
        "first_name": "VANESSA",
        "middle_name": "MONIQUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2023035403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Axis Sleep Center, LLC
• Rachel Erin Bagot, DMD
• Jordan Wayne Bailey
• Rosie Ball
• Jacqueline Barber
• Kimberly M Baty, LPC
• Skylar Dawn Beauchamp
• Brandy N Bednarik
• Kristin Lindsay Beels
• Ann E Blackman, MD

• All providers in Saint Robert, MO
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.