Shelby Kate Cooper

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2017003651 Issued in MO

Practice address

328 W 7TH St
Hermann, MO 65041-1216

Phone

(573) 486-3197

Fax

(573) 486-3244

NPI assigned

Jul 31, 2018

Last updated

Jul 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1780162933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 BLUE PRIDE DR",
            "city": "HERMANN",
            "state": "MO",
            "postal_code": "650411593",
            "telephone_number": "573-486-3197",
            "fax_number": "573-486-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 W 7TH ST",
            "city": "HERMANN",
            "state": "MO",
            "postal_code": "650411216",
            "telephone_number": "573-486-3197",
            "fax_number": "573-486-3244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Bearcat Xing",
            "address_purpose": "LOCATION",
            "city": "Hermann",
            "state": "MO",
            "postal_code": "650411594",
            "country_code": "US",
            "telephone_number": "573-486-2116 x1110",
            "fax_number": "573-486-3058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SHELBY",
        "middle_name": "KATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2017003651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel L Baumstark, MD
• Jennifer L Blair, OTR/L
• Barbara Dale Carr, OTR/L
• Emmogene Lee Chepely, LPC
• Steven Ciegel, RPH
• Gracie Lynn Copeland, COTA/L
• Elizabeth M Crawford, MSW, LCSW
• Curators of the University of Missouri
• Dale F. Dierberg, MD
• Dale F Dierberg, MD

• Speech-Language Pathologist in Hermann, MO
• Providers in Hermann, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.