Organization Active NPI

Doniphan Reorganized School

  • Speech-Language Pathologist
  • Doniphan, MO
National Provider Identifier
1801088554
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
111784 Issued in MO
Legal business name
DONIPHAN REORGANIZED SCHOOL
Practice address
603 E Summit St
Doniphan, MO 63935-1142
Phone
(573) 996-3982
Fax
(573) 996-2763
NPI assigned
Aug 16, 2007
Last updated
Aug 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Authorized official

Name
Kathy Slayton
Title
Adminstrator
Phone
(573) 996-3982

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X 111784 MO Primary
Speech-Language Pathologist 235Z00000X 2002000259 MO

Addresses

Primary practice location

603 E Summit St
Doniphan, MO 63935-1142

Mailing address

603 E Summit St
Doniphan, MO 63935-1142
Phone (573) 996-3982

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1801088554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E SUMMIT ST",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351142",
            "telephone_number": "573-996-3982",
            "fax_number": "573-996-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E SUMMIT ST",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351142",
            "telephone_number": "573-996-3982",
            "fax_number": "573-996-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONIPHAN REORGANIZED SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "SLAYTON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "573-996-3982"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "111784",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2002000259",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doniphan, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.