Individual provider Active NPI

April Machelle Nolan, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • Atascadero, CA
National Provider Identifier
1104032820
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP15939 Issued in CA
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.

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 3 clinicians

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
SP15939CAMDSpeech-Language Pathologist
15939CAMDNurse Practitioner

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Beyond Speech Therapy Inc Speech-Language Pathologist CurrentSince Sep 1, 2022 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)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP15939 CA Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
0663623OtherCATRIWEST
GSP000390MedicaidCA

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.