Active NPI
Angela Denise Vaugier, MACCC-SLP
- Speech-Language Pathologist
- Warsaw, MO
National Provider Identifier
1952671661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 111557
- Practice address
- 204 Seminary Street
Warsaw, MO 63533 - Phone
- (573) 290-5870
- Fax
- (573) 290-5909
- NPI assigned
- Jan 11, 2012
- 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 | 111557 | MO | Primary |
Addresses
Primary practice location
204 Seminary Street
Warsaw, MO 63533
Mailing address
957 Sierra CT
Jackson, MO 63755-6103
Phone (573) 579-7301
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111557 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1952671661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "957 SIERRA CT",
"city": "JACKSON",
"state": "MO",
"postal_code": "637556103",
"telephone_number": "573-579-7301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 SEMINARY STREET",
"city": "WARSAW",
"state": "MO",
"postal_code": "63533",
"telephone_number": "573-290-5870",
"fax_number": "573-290-5909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGIER",
"first_name": "ANGELA",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "MACCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-11",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "111557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warsaw, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.