Active NPI
Nichole Beth Spohn, M.A., CCC-SLP
- Speech-Language Pathologist
- Philadelphia, PA
National Provider Identifier
1215165535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 127 Mountain St
Philadelphia, PA 19148-1317 - Phone
- (267) 528-9503
- NPI assigned
- Jun 25, 2009
- 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 | Primary |
Addresses
Primary practice location
127 Mountain St
Philadelphia, PA 19148-1317
Mailing address
127 Mountain St
Philadelphia, PA 19148-1317
Phone (267) 528-9503
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12134202 | Other | PA | ASHA |
| SL010242 | Other | PA | PA STATE LISCENSE IN SPEECH LANGUAGE PATHOLOGY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1215165535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 MOUNTAIN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191481317",
"telephone_number": "267-528-9503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 MOUNTAIN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191481317",
"telephone_number": "267-528-9503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPOHN",
"first_name": "NICHOLE",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-25",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "12134202",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA STATE LISCENSE IN SPEECH LANGUAGE PATHOLOGY",
"identifier": "SL010242",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.