Individual provider Active NPI

Megan Logan Bounds, MS/CCC-SLP

  • Speech-Language Pathologist
  • Gulfport, MS
National Provider Identifier
1053632810
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S3209 Issued in MS
Practice address
12303 Highway 49
Gulfport, MS 39503-2780
Phone
(228) 832-6221
Fax
(228) 832-4033
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S3209 MS Primary

Addresses

Primary practice location

12303 Highway 49
Gulfport, MS 39503-2780

Mailing address

17540 Jones LN
Saucier, MS 39574-9181
Phone (601) 479-3522

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
S3209MSMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1053632810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17540 JONES LN",
            "city": "SAUCIER",
            "state": "MS",
            "postal_code": "395749181",
            "telephone_number": "601-479-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 HIGHWAY 49",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032780",
            "telephone_number": "228-832-6221",
            "fax_number": "228-832-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUNDS",
        "first_name": "MEGAN",
        "middle_name": "LOGAN",
        "name_prefix": "Mrs.",
        "credential": "MS/CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.