Active NPI
Christina Vermaux, MS, CCC-SLP/L
- Speech-Language Pathologist
- Maryville, IL
National Provider Identifier
1720533763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.006805
- Practice address
- 6113 Keebler Oaks Dr
Maryville, IL 62062-6464 - Phone
- (314) 724-9724
- NPI assigned
- Aug 19, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.006805 | IL | Primary |
| Speech-Language Pathologist | 235Z00000X | 2007033589 | MO |
Addresses
Primary practice location
6113 Keebler Oaks Dr
Maryville, IL 62062-6464
Mailing address
6113 Keebler Oaks Dr
Maryville, IL 62062-6464
Phone (314) 724-9724
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.006805 | IL | MD | Speech-Language Pathologist |
| 2007033589 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471564800000",
"number": "1720533763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6113 KEEBLER OAKS DR",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620626464",
"telephone_number": "314-724-9724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6113 KEEBLER OAKS DR",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620626464",
"telephone_number": "314-724-9724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERMAUX",
"first_name": "CHRISTINA",
"credential": "MS, CCC-SLP/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-19",
"last_updated": "2016-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.006805",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2007033589",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maryville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.