Active NPI
Lisa Ann Agee, MA, L/CCC-SLP
- Speech-Language Pathologist
- Dardenne Prairie, MO
National Provider Identifier
1669662920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2001024569
- Practice address
- 7370 Weldon Springs Rd
Dardenne Prairie, MO 63368-8702 - Phone
- (636) 851-5372
- NPI assigned
- Aug 1, 2007
- 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 | 2001024569 | MO | Primary |
Addresses
Primary practice location
7370 Weldon Springs Rd
Dardenne Prairie, MO 63368-8702
Mailing address
7370 Weldon Springs Rd
Dardenne Prairie, MO 63368-8702
Phone (636) 851-5372
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001024569 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185926400000",
"number": "1669662920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7370 WELDON SPRINGS RD",
"city": "DARDENNE PRAIRIE",
"state": "MO",
"postal_code": "633688702",
"telephone_number": "636-851-5372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7370 WELDON SPRINGS RD",
"city": "DARDENNE PRAIRIE",
"state": "MO",
"postal_code": "633688702",
"telephone_number": "636-851-5372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGEE",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MA, L/CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-01",
"last_updated": "2007-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2001024569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dardenne Prairie, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.