Mary Beth Nelson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

145 West St
Edwardsville, IL 62025-1467

Phone

(618) 656-0485

NPI assigned

Jul 17, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1215413786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 WEST ST",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WEST ST",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251467",
            "telephone_number": "618-656-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARY",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rylie M Murray, ATC
• Hailee Rae Myers
• Nueki Naate, MD
• Suman Dilip Navalgund, O.D.
• Krista Nicole Nelson, D.P.M.
• Angelle N Newell
• Next Step Foot & Ankle Centers
• Next Step Foot and Ankle Centers, Inc
• Katherine A Nicoloff, MSW
• Leann N Nitz, NP

• Speech-Language Pathologist in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.