Active NPI
Belinda B Pankoff
- Speech-Language Pathologist
- Wentzville, MO
National Provider Identifier
1811210172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 02041
- Practice address
- 332 Stable LN
Wentzville, MO 63385-5447 - Phone
- (636) 332-4940
- NPI assigned
- Mar 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 02041 | MO | Primary |
Addresses
Primary practice location
332 Stable LN
Wentzville, MO 63385-5447
Mailing address
703 Sherwood Dr
Webster Groves, MO 63119-3755
Phone (314) 853-7772
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02041 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Horsemanship | 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 and National Provider Directory roles.
-
- Voluntary or Charitable Agency
- Wentzville, MO
- NPI 1881738896
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1811210172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 SHERWOOD DR",
"city": "WEBSTER GROVES",
"state": "MO",
"postal_code": "631193755",
"telephone_number": "314-853-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 STABLE LN",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633855447",
"telephone_number": "636-332-4940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANKOFF",
"first_name": "BELINDA",
"middle_name": "B",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-01",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "02041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wentzville, MO
- Jonathan Cooper Owens, D.C.
- P.W. Deschamp LTD. (Dr. P.W. Deschamp D.C.)
- Phillip Palmer
- Palombi Vision Center PC
- Diane Lynn Palombi, O.D.
- Aarti Parekh
- Siniski Pargo-Oduwole
- Parklane Care and Rehabilitation Center Inc (Parklane Care and Rehabilitaton Center Inc)
- Marilyn Parsons, PLPC
- Angela M Passanise, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.