Active NPI
Austin Bellmore, M.A., CCC-SLP
- Speech-Language Pathologist
- Las Vegas, NV
National Provider Identifier
1093187478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-2145
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| SP-2145 | NV | MD | Speech-Language Pathologist |
| 2202008038 | VA | MD | Speech-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.