Gabriela Mendoza
Individual provider Active NPI Speech-Language Pathologist · Sappington, MO
NPI 1821830175 · NPPES record last updated Jun 8, 2024
Key facts
- NPI
- 1821830175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2024021245 (MO)
- Practice address
- 12470 Rott Rd
Sappington, MO 63127-1222 - Phone
- (866) 296-7739
- NPI assigned
- Jun 8, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240619000065 | MO | Practitioner - Qualified Speech Language Pathologist | 4880137884 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Wellness Kansas City, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Empowerme Rehabilitation Missouri LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current |
Accepting new patients | |
| Empowerme Rehabilitation Missouri LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
1538 N Old Castle Rd
Nixa, MO 65714
Phone (417) 724-8188
12335 W Bend Dr
Saint Louis, MO 63128
Phone (314) 849-1366
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
12563 Village Circle Dr
Saint Louis, MO 63127
Phone (314) 270-7700
12470 Rott Rd
Sappington, MO 63127
Phone (314) 287-6160
1146 E Lakewood St
Springfield, MO 65810
Phone (417) 216-7254
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2024021245 | MO | Yes |
Addresses
Primary practice location
12470 Rott Rd
Sappington, MO 63127-1222
Mailing address
11515 Craig CT Apt 421
Saint Louis, MO 63146-5297
Phone (816) 308-5597
Other providers in Sappington, MO
- Margaret Delgado
- Katrina Galen
- Jason M Herrick DDS LLC
- JPRX Inc
- JPRX Inc
- Mercy Pharmacy Services LLC
- Grace Milford
- Saint Medical Group, LLC
- Jordan Sweet
- Taylor Paul Chiropractic LLC
All providers in Sappington, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.