Lisa Karandjeff, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2007032164 Issued in MO

Practice address

17690 Wildridge Dr
Chesterfield, MO 63005-4249

Phone

(314) 825-4984

NPI assigned

Dec 18, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1932445053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17690 WILDRIDGE DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630054249",
            "telephone_number": "314-825-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17690 WILDRIDGE DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630054249",
            "telephone_number": "314-825-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARANDJEFF",
        "first_name": "LISA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2007032164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna J Kang, MD
• Jill Kanterman
• Robert Kanterman, M.D.
• Helen Louise Kappel
• Rucha D Karajgikar, M.D.
• Eugenia Kardaris
• Karing Home Health, LLC
• Warren Albert Kass, PHD
• Paige Marie Kasson, PA
• Antonios Emmanuel Katakis Jr., DC

• Speech-Language Pathologist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.