Individual provider Active NPI

Mary Jane Ziegemeier

  • Speech-Language Pathologist
  • Saint Charles, MO
National Provider Identifier
1669945853
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2555 Hackmann Rd
Saint Charles, MO 63303-5452
Phone
(636) 851-6200
Fax
(636) 851-6202
NPI assigned
Jan 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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 Primary

Addresses

Primary practice location

2555 Hackmann Rd
Saint Charles, MO 63303-5452

Mailing address

4545 Central School Rd
Saint Charles, MO 63304-7113
Phone (636) 851-4067

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

NPI Registry JSON

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1669945853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 CENTRAL SCHOOL RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633047113",
            "telephone_number": "636-851-4067",
            "fax_number": "636-805-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 HACKMANN RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035452",
            "telephone_number": "636-851-6200",
            "fax_number": "636-851-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEGEMEIER",
        "first_name": "MARY",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.