Penny Poole, MS-CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14175 Issued in TX

Practice address

4909 Trojan Dr
El Paso, TX 79924-2230

Phone

(915) 231-2120

NPI assigned

Oct 12, 2017

Last updated

Oct 12, 2017By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1629588058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4576 MAJ SPRAGUE AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799246828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 TROJAN DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799242230",
            "telephone_number": "915-231-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "PENNY",
        "name_prefix": "Ms.",
        "credential": "MS-CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "14175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodie Pond Pearson, EFDA
• Michael Angelo Ponessa, CAA
• Enrique Nicanor Ponte Jr., M.D.
• Aaron Tanner Poole, M.D.
• Christopher Allen Poole, LISW
• Christopher Poon, PHARMD
• Patrick Popieluszko
• Harshitha Chowdary Popuri
• Alejandra Porras
• Arisbey Porras, SLP

• Speech-Language Pathologist in El Paso, TX
• Providers in El Paso, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.