Active NPI
Sherilyn Marie Loftsgard, MS CF-SLP
- Speech-Language Pathologist
- Troy, MO
National Provider Identifier
1881878619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2007037026
- Practice address
- 951 W College
Troy R-III
Troy, MO 63379-1112 - Phone
- (636) 462-5081
- Fax
- (636) 528-2411
- NPI assigned
- Dec 28, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 2007037026 | MO | Primary |
Addresses
Primary practice location
951 W College
Troy R-III
Troy, MO 63379-1112
Mailing address
P O Box 414
308 E 3Rd St
Moscow Mills, MO 63362
Phone (636) 357-2601
Other names 1
- Ms. Sherilyn Marie Koch
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2007037026 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln County Reorganzied | 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.
-
- Local Education Agency (LEA)
- Troy, MO
- NPI 1801939020
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235001600000",
"number": "1881878619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 414",
"address_2": "308 E 3RD ST",
"city": "MOSCOW MILLS",
"state": "MO",
"postal_code": "63362",
"telephone_number": "636-357-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 W COLLEGE",
"address_2": "TROY R-III",
"city": "TROY",
"state": "MO",
"postal_code": "633791112",
"telephone_number": "636-462-5081",
"fax_number": "636-528-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOFTSGARD",
"first_name": "SHERILYN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-28",
"last_updated": "2009-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2007037026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHERILYN",
"last_name": "KOCH",
"middle_name": "MARIE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Troy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.