NPIMap

Organization Active NPI

St. Louis Charter School

  • Speech-Language Pathologist
  • Saint Louis, MO
National Provider Identifier
1700212289
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2013023331 Issued in MO
Legal business name
ST. LOUIS CHARTER SCHOOL
Practice address
5279 Fyler Ave
Saint Louis, MO 63139-1300
Phone
(314) 645-9600
NPI assigned
Sep 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Authorized official

Name
Diane Richter
Title
Head of Special Education
Phone
(314) 645-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 2013023331 MO Primary

Addresses

Primary practice location

5279 Fyler Ave
Saint Louis, MO 63139-1300

Mailing address

5279 Fyler Ave
Saint Louis, MO 63139-1300
Phone (314) 645-9600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1700212289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5279 FYLER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391300",
            "telephone_number": "314-645-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5279 FYLER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391300",
            "telephone_number": "314-645-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "HEAD OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "314-645-9600"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2013023331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.