Individual provider Active NPI

Austin Bellmore, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Las Vegas, NV
National Provider Identifier
1093187478
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-2145 Issued in NV
Practice address
8660 Spring Mountain Rd Ste 101
Las Vegas, NV 89117-4101
Phone
(702) 462-5252
Fax
(702) 685-5009
NPI assigned
Oct 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202008038 VA
Speech-Language Pathologist 235Z00000X SP-2145 NV Primary

Addresses

Primary practice location

8660 Spring Mountain Rd Ste 101
Las Vegas, NV 89117-4101

Mailing address

8660 Spring Mountain Rd Ste 101
Las Vegas, NV 89117-4101
Phone (702) 462-5252

Other practice location 1

4560 South Blvd
Suite 310
Virginia Beach, VA 23452-1160
Phone (757) 490-3223

Other practice location 2

7857 Quill Gordon Ave
Las Vegas, NV 89149
Phone (503) 830-6315

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP-2145NVMDSpeech-Language Pathologist
2202008038VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1093187478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 SPRING MOUNTAIN RD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174101",
            "telephone_number": "702-462-5252",
            "fax_number": "702-685-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 SPRING MOUNTAIN RD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174101",
            "telephone_number": "702-462-5252",
            "fax_number": "702-685-5009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4560 South Blvd",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234521160",
            "country_code": "US",
            "telephone_number": "757-490-3223",
            "fax_number": "757-490-2936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7857 Quill Gordon Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89149",
            "country_code": "US",
            "telephone_number": "503-830-6315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLMORE",
        "first_name": "AUSTIN",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202008038",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.