Jaime K Koenigsfeld
Individual provider Active NPI Speech-Language Pathologist · Hermann, MO
NPI 1831235159 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831235159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 164 Blue Pride Dr
Hermann, MO 65041-1593 - Phone
- (573) 486-2116
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gasconade County R-I School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
164 Blue Pride Dr
Hermann, MO 65041-1593
Mailing address
164 Blue Pride Dr
Hermann, MO 65041-1593
Phone (573) 486-2116
Other providers in Hermann, MO
- Sandra Kaye Hingst
- Kristen Louise Hodge
- Katherine Anne Hoener
- Kelsey A Kessler
- Shari Lyn Kicker
- Lloyd Healthcare Management Systems Inc
- Michael W Mahoney
- Jordan Marie Mantels
- Holly Marek
- Chad Aaron May
All providers in Hermann, 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 Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.