Active NPI
Jean Louise Foster, M.A.-C.C.C./S.L.P,
- Speech-Language Pathologist
- Saint Louis, MO
National Provider Identifier
1972541233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 102623
- Practice address
- 11618 Gravois Rd
Saint Louis, MO 63126-3014 - Phone
- (314) 842-1900
- NPI assigned
- Jun 2, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 102623 | MO | Primary |
| Speech-Language Pathologist | 235Z00000X | 146004057 | IL |
Addresses
Primary practice location
11618 Gravois Rd
Saint Louis, MO 63126-3014
Mailing address
11618 Gravois Rd
Saint Louis, MO 63126-3014
Phone (314) 842-1900
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 |
|---|---|---|---|
| 146004057 | IL | MD | Speech-Language Pathologist |
| 102623 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MBS Advantage Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Patheous Medical PLLC | Past | Accepting new patients |
Locations
11618 Gravois Rd
Saint Louis, MO 63126
Phone (314) 239-9740
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Saint Louis, MO
- NPI 1083612253
Speech-Language Pathologist
-
- Diagnostic Radiology Physician
- Leawood, KS
- NPI 1366121527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1972541233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11618 GRAVOIS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631263014",
"telephone_number": "314-842-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11618 GRAVOIS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631263014",
"telephone_number": "314-842-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "JEAN",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "M.A.-C.C.C./S.L.P,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "102623",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146004057",
"primary": false
}
],
"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 Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.