Active NPI
Ashton Bernskoetter
- Speech-Language Pathologist
- Springfield, MO
National Provider Identifier
1992329171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2020014462
- Practice address
- 3023 S Fort Ave Ste B
Springfield, MO 65807-4217 - Phone
- (417) 890-4656
- NPI assigned
- Jun 3, 2020
- 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 | 2020014462 | MO | Primary |
Addresses
Primary practice location
3023 S Fort Ave Ste B
Springfield, MO 65807-4217
Mailing address
3023 S Fort Ave Ste B
Springfield, MO 65807-4217
Phone (417) 890-4656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020014462 | Other | MO | STATE LICENSE |
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 |
|---|---|---|---|
| 2020014462 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1992329171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 S FORT AVE STE B",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658074217",
"telephone_number": "417-890-4656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3023 S FORT AVE STE B",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658074217",
"telephone_number": "417-890-4656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNSKOETTER",
"first_name": "ASHTON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-03",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2020014462",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2020014462",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.