Nancy A Paul, MS CCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7344 Issued in MN

Practice address

1104 7TH Ave S
Msum Box 119
Moorhead, MN 56563-0001

Phone

(218) 477-4642

Fax

(218) 477-4392

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minnesota State Colleges and UniversitiesGroup PAC ID 2264334663, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Minnesota State Colleges & Universities

  • Speech-Language Pathologist
  • Moorhead, MN
  • NPI 1215000963
  Medicare reassignment Care Compare group
• Minnesota State Colleges & Universities

  • Audiologist
  • Moorhead, MN
  • NPI 1558421404
  NPD (past)
• Minnesota State Colleges and Universities

  • Clinic/Center
  • Bemidji, MN
  • NPI 1083881452
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184716771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 7TH AVE S",
            "address_2": "MSUM BOX 119",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565630001",
            "telephone_number": "218-477-4642",
            "fax_number": "218-477-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 7TH AVE S",
            "address_2": "MSUM BOX 119",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565630001",
            "telephone_number": "218-477-4642",
            "fax_number": "218-477-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "NANCY",
        "middle_name": "A",
        "credential": "MS CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "7344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND BCBS",
            "identifier": "22382",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "382S57PA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51419",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Lee Pagenkopf, L.I.C.S.W.
• Max Pajari
• Stephanie Leigh Palanuk, RN
• Katie Palloch
• Madison Paul
• Sandra Kay Paul, MA/CCC-SLP
• Michael Dana Paulson, PHD
• Brittany Paulus
• Tausha May Pearson
• William O. Pearson IV, LAMFT

• Speech-Language Pathologist in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Speech-Language Pathologist in Minnesota

• 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.
• 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.