Vanessa Caroline Koonce/Powell, MSE CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1304 Issued in AR

Practice address

101 Bulldog Dr
Plumerville, AR 72127-8803

Phone

(501) 354-2269

NPI assigned

Nov 10, 2008

Last updated

Nov 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arch Ford Education Cooperative

  • Local Education Agency (LEA)
  • Plumerville, AR
  • NPI 1932262003
  NPD (past)

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1083868574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 GRESHAM DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347298",
            "telephone_number": "501-327-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BULLDOG DR",
            "city": "PLUMERVILLE",
            "state": "AR",
            "postal_code": "721278803",
            "telephone_number": "501-354-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONCE/POWELL",
        "first_name": "VANESSA",
        "middle_name": "CAROLINE",
        "name_prefix": "Mrs.",
        "credential": "MSE CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "1304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Anne Freeman, MS, CF-SLP
• Travis Andrew Gray, B.S.
• Cynthia A. Harmon, M.A. CCC-SLP
• Jaymie L Huett, M.S.,CCC-SLP
• Hadley Jones, COTA/L
• Audrey I Mayfield, MS, CCC-SLP
• Regina Moore, CNP
• Audrey Mortenson
• Amanda Muse
• N'Speech

• Speech-Language Pathologist in Plumerville, AR
• Providers in Plumerville, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.