Active NPI
Brandi Michelle Coggins, M.S.CCC-SLP
- Speech-Language Pathologist
- O Fallon, MO
National Provider Identifier
1962884650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.015875
- Practice address
- 731 Falcon Hill TRL
O Fallon, MO 63368-8194 - Phone
- (806) 679-9081
- NPI assigned
- Jun 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2021017937 | MO | |
| Speech-Language Pathologist | 235Z00000X | 110242 | TX | |
| Speech-Language Pathologist | 235Z00000X | 146.015875 | IL | Primary |
Addresses
Primary practice location
731 Falcon Hill TRL
O Fallon, MO 63368-8194
Mailing address
412 Nancy Dr
O Fallon, IL 62269-3415
Phone (806) 679-9081
Other practice location 1
200 Fleetwood Dr
Waynesville, MO 65583-2266
Phone (573) 842-2007
Other practice location 2
412 Nancy Dr
O Fallon, IL 62269-3415
Phone (806) 679-9081
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 |
|---|---|---|---|
| 146.015875 | IL | MD | Speech-Language Pathologist |
| 2021017937 | MO | MD | Speech-Language Pathologist |
| 110242 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1962884650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 NANCY DR",
"city": "O FALLON",
"state": "IL",
"postal_code": "622693415",
"telephone_number": "806-679-9081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 FALCON HILL TRL",
"city": "O FALLON",
"state": "MO",
"postal_code": "633688194",
"telephone_number": "806-679-9081"
}
],
"practiceLocations": [
{
"address_1": "200 Fleetwood Dr",
"address_purpose": "LOCATION",
"city": "Waynesville",
"state": "MO",
"postal_code": "655832266",
"country_code": "US",
"telephone_number": "573-842-2007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "412 Nancy Dr",
"address_purpose": "LOCATION",
"city": "O Fallon",
"state": "IL",
"postal_code": "622693415",
"country_code": "US",
"telephone_number": "806-679-9081",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COGGINS",
"first_name": "BRANDI",
"middle_name": "MICHELLE",
"credential": "M.S.CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-18",
"last_updated": "2024-08-05",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2021017937",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "110242",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.015875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.