Active NPI
Ryan Yan So, MS, CF-SLP
- Speech-Language Pathologist
- Peculiar, MO
National Provider Identifier
1912387341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2014039071
- Practice address
- 226 Shari Dr Apt C
Peculiar, MO 64078-8234 - Phone
- (660) 238-3775
- NPI assigned
- Jun 1, 2015
- Last updated
- Jun 1, 2015
- Sex
- Male
- 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 | 2014039071 | MO | Primary |
Addresses
Primary practice location
226 Shari Dr Apt C
Peculiar, MO 64078-8234
Mailing address
226 Shari Dr Apt C
Peculiar, MO 64078-8234
Phone (660) 238-3775
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 |
|---|---|---|---|
| 2014039071 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433116800000",
"number": "1912387341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 SHARI DR APT C",
"city": "PECULIAR",
"state": "MO",
"postal_code": "640788234",
"telephone_number": "660-238-3775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 SHARI DR APT C",
"city": "PECULIAR",
"state": "MO",
"postal_code": "640788234",
"telephone_number": "660-238-3775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SO",
"first_name": "RYAN",
"middle_name": "YAN",
"name_prefix": "Mr.",
"credential": "MS, CF-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-01",
"last_updated": "2015-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2014039071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peculiar, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.