Active NPI
Nicole Pounds
- Speech-Language Pathologist
- Willard, MO
National Provider Identifier
1205388659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2015026232
- Practice address
- 700 Daniel LN
Willard, MO 65781-8328 - Phone
- (417) 299-0008
- NPI assigned
- Nov 2, 2016
- Last updated
- Nov 2, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 2015026232 | MO | Primary |
Addresses
Primary practice location
700 Daniel LN
Willard, MO 65781-8328
Mailing address
700 Daniel LN
Willard, MO 65781-8328
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015026232 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1205388659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 DANIEL LN",
"city": "WILLARD",
"state": "MO",
"postal_code": "657818328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 DANIEL LN",
"city": "WILLARD",
"state": "MO",
"postal_code": "657818328",
"telephone_number": "417-299-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POUNDS",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-02",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2015026232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willard, MO
- N & R of Willard LLC (Willard Care Center)
- Katelyn Nash, COTA/L
- Justin Tom Nguyen
- Dakota Lager Pearce, DPT
- Soleya Abigail Pippin, FNP-C
- Stephen Goodwin Powell, DDS
- Regional Services (Coxhealth School Based Telemedicine)
- Alice R. Riedel, MD
- Erin Kathleen Rippee, PT, DPT
- Kristen Leigh Roberts, MS CCC SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.