Active NPI
Paula Ann Simon, M.A. CCC-SLP
- Speech-Language Pathologist
- Cascade, IA
National Provider Identifier
1184963829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01555
- Practice address
- 240 Aeries Ave
Cascade, IA 52033-7770 - Phone
- (563) 852-5045
- NPI assigned
- Jan 31, 2013
- Last updated
- Jan 31, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 01555 | IA | Primary |
Addresses
Primary practice location
240 Aeries Ave
Cascade, IA 52033-7770
Mailing address
240 Aeries Ave
Cascade, IA 52033-7770
Phone (563) 852-5045
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 |
|---|---|---|---|
| 01555 | IA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1184963829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 AERIES AVE",
"city": "CASCADE",
"state": "IA",
"postal_code": "520337770",
"telephone_number": "563-852-5045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 AERIES AVE",
"city": "CASCADE",
"state": "IA",
"postal_code": "520337770",
"telephone_number": "563-852-5045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "PAULA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-31",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "01555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cascade, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.