Active NPI
Ian Farmer, MS CCC-SLP
- Speech-Language Pathologist
- Saint Louis, MO
National Provider Identifier
1932749447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2018016958
- Practice address
- 1220 N 10TH St
Saint Louis, MO 63106-4636 - Phone
- (314) 231-0143
- NPI assigned
- Jan 13, 2020
- 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 | 2018016958 | MO | Primary |
Addresses
Primary practice location
1220 N 10TH St
Saint Louis, MO 63106-4636
Mailing address
1220 N 10TH St
Saint Louis, MO 63106-4636
Phone (314) 231-0143
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 |
|---|---|---|---|
| 2018016958 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1932749447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 N 10TH ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631064636",
"telephone_number": "314-231-0143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 N 10TH ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631064636",
"telephone_number": "314-231-0143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARMER",
"first_name": "IAN",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-13",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2018016958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.