Individual provider Active NPI

Marguerite K Vasconcellos, MS, CED, CERT AVT

  • Speech-Language Pathologist
  • Doylestown, PA
National Provider Identifier
1174737738
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL001220L Issued in PA
Practice address
705 N Shady Retreat Rd
Doylestown, PA 18901-2507
Phone
(800) 770-4822
Fax
(215) 340-1639
NPI assigned
May 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL001220L PA Primary

Addresses

Primary practice location

705 N Shady Retreat Rd
Doylestown, PA 18901-2507

Mailing address

4111 Enders Way
Doylestown, PA 18901-5609
Phone (800) 770-4822

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 Science

State licenses

LicenseStateTypeSpecialty
SL001220LPAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174737738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 ENDERS WAY",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189015609",
            "telephone_number": "800-770-4822",
            "fax_number": "215-340-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N SHADY RETREAT RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012507",
            "telephone_number": "800-770-4822",
            "fax_number": "215-340-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASCONCELLOS",
        "first_name": "MARGUERITE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MS, CED, CERT AVT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL001220L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.