Individual provider Active NPI

Kathryn Anne Sucher

  • Speech-Language Pathologist
  • O Fallon, MO
National Provider Identifier
1689702912
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2006014647 Issued in MO
Practice address
Fort Zumwalt School District
110 Virgil St
O Fallon, MO 63366-2637
Phone
(636) 397-3111
Fax
(636) 397-1454
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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 2006014647 MO Primary

Addresses

Primary practice location

Fort Zumwalt School District
110 Virgil St
O Fallon, MO 63366-2637

Mailing address

110 Virgil St
O Fallon, MO 63366-2637
Phone (636) 397-3111

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

State licenses

LicenseStateTypeSpecialty
2006014647MOMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1689702912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 VIRGIL ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662637",
            "telephone_number": "636-397-3111",
            "fax_number": "636-397-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FORT ZUMWALT SCHOOL DISTRICT",
            "address_2": "110 VIRGIL ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662637",
            "telephone_number": "636-397-3111",
            "fax_number": "636-397-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCHER",
        "first_name": "KATHRYN",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2006014647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.