Individual provider Active NPI

Molly E Meyer, MA, CCC-SLP

  • Speech-Language Pathologist
  • Incline Village, NV
National Provider Identifier
1306361753
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-1398 Issued in NV
Practice address
800 Southwood Blvd Ste 207
Incline Village, NV 89451-7475
Phone
(775) 298-1441
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP26979 CA
Speech-Language Pathologist 235Z00000X SP-1398 NV Primary

Addresses

Primary practice location

800 Southwood Blvd Ste 207
Incline Village, NV 89451-7475

Mailing address

800 Southwood Blvd Ste 207
Incline Village, NV 89451-7475
Phone (775) 298-1441

Other names 1

  • Molly E Bateson Former name

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

LicenseStateTypeSpecialty
SP26979CAMDSpeech-Language Pathologist
SP-1398NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tahoe Speech Therapy LLC CurrentSince Feb 13, 2022 Accepting new patients

Locations

800 Southwood Blvd
Ste 207
Incline Village, NV 89451
Phone (775) 298-1441

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1306361753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SOUTHWOOD BLVD STE 207",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894517475",
            "telephone_number": "775-298-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SOUTHWOOD BLVD STE 207",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894517475",
            "telephone_number": "775-298-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MOLLY",
        "middle_name": "E",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP26979",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-1398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "BATESON",
            "middle_name": "E",
            "credential": "MA, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Incline Village, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.