Individual provider Active NPI

Linda Jeanne Coelho, M.S., SLP-CCC

  • Speech-Language Pathologist
  • Augusta, ME
National Provider Identifier
1508180738
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP1983 Issued in ME
Practice address
263 Water St Ste 500
Augusta, ME 04330-4612
Phone
(207) 623-4989
Fax
(207) 622-9798
NPI assigned
Mar 17, 2010
Last updated
Mar 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP1983 ME Primary

Addresses

Primary practice location

263 Water St Ste 500
Augusta, ME 04330-4612

Mailing address

263 Water St Ste 500
Augusta, ME 04330-4612
Phone (207) 623-4989

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 Science

State licenses

LicenseStateTypeSpecialty
SP1983MEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Child Development Services S K Speech-Language Pathologist Past Accepting new patients
Child Development Services Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1508180738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 WATER ST STE 500",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304612",
            "telephone_number": "207-623-4989",
            "fax_number": "207-622-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 WATER ST STE 500",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304612",
            "telephone_number": "207-623-4989",
            "fax_number": "207-622-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COELHO",
        "first_name": "LINDA",
        "middle_name": "JEANNE",
        "credential": "M.S., SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.