Poplar Bluff School District R-1

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

506112606 Issued in MO

Legal business name

POPLAR BLUFF SCHOOL DISTRICT R-1

Practice address

1110 N Westwood Blvd
Poplar Bluff, MO 63901-3336

Phone

(573) 785-6707

Fax

(573) 785-0336

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ernie Lawson

Title

Superintendent

Phone

(573) 785-7751

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1811063233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013336",
            "telephone_number": "573-785-6707",
            "fax_number": "573-785-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013336",
            "telephone_number": "573-785-6707",
            "fax_number": "573-785-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPLAR BLUFF SCHOOL DISTRICT R-1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "ERNIE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "573-785-7751",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "506112606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506112606",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Poplar Bluff Regional Medical Center, LLC
• Poplar Bluff Regional Medical Center, LLC
• Poplar Bluff Regional Medical Center, LLC
• Poplar Bluff Residential, LLC
• Poplar Bluff School District
• Kenneth Gregory Popp II, RPH
• Connie Porch
• Lindsay Porter
• Portia'S RCF, LLC
• Allyssa Poston

• Speech-Language Pathologist in Poplar Bluff, MO
• Providers in Poplar Bluff, 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 Jun 25, 2008; 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.