Active NPI
Vicki L. Simonsmeier, M.S.
- Speech-Language Pathologist
- Logan, UT
National Provider Identifier
1639319775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3082715-4102
- Practice address
- Department of Communicative Disorders
1000 Old Main Hill
Logan, UT 84322-0001 - Phone
- (435) 797-7554
- Fax
- (435) 797-0221
- NPI assigned
- Mar 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3082715-4102 | UT | Primary |
Addresses
Primary practice location
Department of Communicative Disorders
1000 Old Main Hill
Logan, UT 84322-0001
Mailing address
1000 Old Main Hill
Department of Communicative Disorders
Logan, UT 84322-1000
Phone (435) 797-7554
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3082715-4102 | UT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah State University | Past | Accepting new patients |
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.
-
- Developmental Disabilities Clinic/Center
- Logan, UT
- NPI 1174694095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236038400000",
"number": "1639319775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 OLD MAIN HILL",
"address_2": "DEPARTMENT OF COMMUNICATIVE DISORDERS",
"city": "LOGAN",
"state": "UT",
"postal_code": "843221000",
"telephone_number": "435-797-7554",
"fax_number": "435-797-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF COMMUNICATIVE DISORDERS",
"address_2": "1000 OLD MAIN HILL",
"city": "LOGAN",
"state": "UT",
"postal_code": "843220001",
"telephone_number": "435-797-7554",
"fax_number": "435-797-0221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONSMEIER",
"first_name": "VICKI",
"middle_name": "L.",
"name_prefix": "Prof.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2009-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "3082715-4102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.