Individual provider Active NPI

William Allen Snipes, M.S., CCC, SLP

  • Speech-Language Pathologist
  • Mission Viejo, CA
National Provider Identifier
1689871568
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP14027 Issued in CA
Practice address
23361 Madero
Suite 200
Mission Viejo, CA 92691-2715
Phone
(949) 599-0218
Fax
(949) 859-0849
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SP14027 CA Primary

Addresses

Primary practice location

23361 Madero
Suite 200
Mission Viejo, CA 92691-2715

Mailing address

321 Robinson Ave
#3
San Diego, CA 92103-4170
Phone (949) 599-0218

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

LicenseStateTypeSpecialty
6264TNMDDental Hygienist
SP14027CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Signal Centers Inc Speech-Language Pathologist CurrentSince Oct 6, 2024 Accepting new patients
The Speech and Hearing Center Speech-Language Pathologist CurrentSince Oct 23, 2023 Accepting new patients

Locations

2212 Encompass Dr
Ste 148
Chattanooga, TN 37421
Phone (423) 622-6900

2217 Encompass Dr
Ste 148
Chattanooga, TN 37421

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689871568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 ROBINSON AVE",
            "address_2": "#3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034170",
            "telephone_number": "949-599-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23361 MADERO",
            "address_2": "SUITE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912715",
            "telephone_number": "949-599-0218",
            "fax_number": "949-859-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIPES",
        "first_name": "WILLIAM",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "M.S., CCC, SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP14027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.