Individual provider Active NPI

Nonnie J Flavell, ACSW/LCSW

  • Counselor
  • Columbia, MO
National Provider Identifier
1336376508
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
001299 Issued in MO
Practice address
117 N Garth Ave
Columbia, MO 65203
Phone
(573) 449-2581
Fax
(573) 449-2583
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 001299 MO Primary

Addresses

Primary practice location

117 N Garth Ave
Columbia, MO 65203

Mailing address

1600 S. Hwy Uu
Columbia, MO 65205
Phone (573) 445-0867

Other names 1

  • Nancy Kane-Pyle 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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1336376508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S. HWY UU",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65205",
            "telephone_number": "573-445-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N GARTH AVE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65203",
            "telephone_number": "573-449-2581",
            "fax_number": "573-449-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAVELL",
        "first_name": "NONNIE",
        "middle_name": "J",
        "credential": "ACSW/LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "001299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "KANE-PYLE",
            "credential": "ACSW/LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.