Cara Garavaglia

Key facts

NPI

1689923765

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

2010020236 (MO)

Practice address

12110 Clayton Rd
St. Louis, MO 63131-2516

Phone

(314) 989-8100

Fax

(314) 989-8440

NPI assigned

Sep 5, 2012

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 5, 2012.

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1689923765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 CLAYTON RD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631312516",
            "telephone_number": "314-989-8100",
            "fax_number": "314-989-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 CLAYTON RD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631312516",
            "telephone_number": "314-989-8100",
            "fax_number": "314-989-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAVAGLIA",
        "first_name": "CARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2010020236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Louis, MO

• Shawn Michael Gao, M.D.
• Xiaoyi Gao
• Tashonda Sade Gapin
• Katherine Lynn Garanzini, LCSW
• Alexandria M Garavaglia Wilson, PHARM.D.
• Darci Leah Garavaglia, OTD OTRL
• Kimberly Anne Garavaglia, CPNP-PC
• Matthew J Garavaglia, CRNA
• Bayardo Isidore Garay, MD, PHD
• Angeline Garber

All providers in St. Louis, MO · Speech-Language Pathologist in Missouri