Active NPI
April Machelle Nolan, M.ED., CCC-SLP
- Speech-Language Pathologist
- Atascadero, CA
National Provider Identifier
1104032820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP15939
- Practice address
- 6965 San Luis Ave
Atascadero, CA 93422-4058 - Phone
- (805) 591-7188
- Fax
- (805) 591-7189
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Atascadero, CA
- NPI 1306234778
CA, Speech-Language Pathologist
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beyond Speech Therapy Inc
Practice addresses (Care Compare)
6965 San Luis Ave
Atascadero, CA 93422-5201
Phone (805) 591-7188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110926000452 | CA | Practitioner - Qualified Speech Language Pathologist | 5991976854 |
Reassigns benefits to 1 organization Practice locations: Atascadero, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP15939 | CA | MD | Speech-Language Pathologist |
| 15939 | CA | MD | Nurse Practitioner |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Speech Therapy Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
6965 San Luis Ave
Atascadero, CA 93422
Phone (805) 591-7188
225 Posada Ln
Ste D
Templeton, CA 93465
Phone (805) 434-0044
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP15939 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6965 San Luis Ave
Atascadero, CA 93422-4058
Mailing address
6965 San Luis Ave
Atascadero, CA 93422-4058
Phone (805) 591-7188
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0663623 | Other | CA | TRIWEST |
| GSP000390 | Medicaid | CA |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | (805)5917189 | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 28, 2021.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1104032820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6965 SAN LUIS AVE",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934224058",
"telephone_number": "805-591-7188",
"fax_number": "805-591-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6965 SAN LUIS AVE",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934224058",
"telephone_number": "805-591-7188",
"fax_number": "805-591-7189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "APRIL",
"middle_name": "MACHELLE",
"name_prefix": "Mrs.",
"credential": "M.ED., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP15939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "0663623",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GSP000390",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "(805)5917189",
"affiliation": "N",
"endpointDescription": "efax (HIPPA Protected/Encrypted)",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "fax",
"address_1": "6965 San Luis Ave",
"city": "Atascadero",
"state": "CA",
"country_code": "US",
"postal_code": "934225201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atascadero, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.