Individual provider Active NPI

Caitlyn Schepker, M.S. CFY-SLP

  • Speech-Language Pathologist
  • Dardenne Prairie, MO
National Provider Identifier
1760991913
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2017022793 Issued in MO
Practice address
1030 Barathaven Dr
Dardenne Prairie, MO 63368-8606
Phone
(216) 772-1030
Fax
(586) 261-6028
NPI assigned
Sep 20, 2017
Last updated
May 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

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 2017022793 MO Primary

Addresses

Primary practice location

1030 Barathaven Dr
Dardenne Prairie, MO 63368-8606

Mailing address

522 Savannah Garden Dr
O Fallon, MO 63366-3223

Other practice location 1

522 Savannah Garden Dr
O Fallon, MO 63366-3223
Phone (636) 297-1371

Other names 1

  • Caitlyn Schroeder Former name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2017022793MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adaptive Rehabilitation Clinics, LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1760991913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 SAVANNAH GARDEN DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 BARATHAVEN DR",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633688606",
            "telephone_number": "216-772-1030",
            "fax_number": "586-261-6028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 Savannah Garden Dr",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633663223",
            "country_code": "US",
            "telephone_number": "636-297-1371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHEPKER",
        "first_name": "CAITLYN",
        "credential": "M.S. CFY-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2017022793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLYN",
            "last_name": "SCHROEDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dardenne Prairie, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.