Makenzie Nicole Struemph, MHS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2020017771 Issued in MO

Practice address

4630 Brennan Rd
High Ridge, MO 63049-1801

Phone

(636) 677-3400

NPI assigned

Oct 14, 2020

Last updated

Apr 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mhackman@northwestschools.net

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1952909715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 ROLLING MEADOW DR",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630254146",
            "telephone_number": "314-541-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 BRENNAN RD",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630491801",
            "telephone_number": "636-677-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUEMPH",
        "first_name": "MAKENZIE",
        "middle_name": "NICOLE",
        "credential": "MHS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2020017771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhackman@northwestschools.net",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "4630 Brennan Rd",
            "city": "High Ridge",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630491801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in High Ridge, MO
• Providers in High Ridge, 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 Apr 28, 2022; 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.