Jamie Nuttall

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-2133 Issued in WV

Practice address

179 Station PL
Hurricane, WV 25526-6578

Phone

(304) 760-6300

NPI assigned

Oct 5, 2020

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

Other names 1

• Jamie Mulraney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Milestones Physical Therapy, Inc.

  • Physical Therapist
  • Hurricane, WV
  • NPI 1003950163

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1366049181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255600450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 STATION PL",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255266578",
            "telephone_number": "304-760-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTALL",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-2133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "MULRANEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nick Hemlepp LLC
• Sarah Nickerson, PHARM D.
• Brittany Ann Nix, BS
• Immaculate Nnachi
• Annilyn Noah, LMT
• Jillian O'Connor, P.A.-C
• Matthew Christopher O'Dell, D.D.S.
• Samuel Douglas O'Dell I, D.D.S.
• Elizabeth Pham Odell, DMD
• Leigh A. Odell, PT

• Speech-Language Pathologist in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.