Individual provider Active NPI

Karen Fernandez-Salvador, MS,CCC-SLP

  • Speech-Language Pathologist
  • Chesterfield, MO
National Provider Identifier
1821135112
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2001008679 Issued in MO
Practice address
150 Long Rd
Suite 150
Chesterfield, MO 63005-1235
Phone
(636) 733-3330
Fax
(636) 733-3332
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2001008679 MO Primary

Addresses

Primary practice location

150 Long Rd
Suite 150
Chesterfield, MO 63005-1235

Mailing address

150 Long Rd
Suite 150
Chesterfield, MO 63005-1235
Phone (636) 733-3330

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2001008679MOMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821135112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LONG RD",
            "address_2": "SUITE 150",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051235",
            "telephone_number": "636-733-3330",
            "fax_number": "636-733-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LONG RD",
            "address_2": "SUITE 150",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051235",
            "telephone_number": "636-733-3330",
            "fax_number": "636-733-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ-SALVADOR",
        "first_name": "KAREN",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2001008679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.