Individual provider Active NPI

Richard E. Nero, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Norway, ME
National Provider Identifier
1720021538
Registry record updated Jan 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP636 Issued in ME
Practice address
78 Pikes HL
Suite 69
Norway, ME 04268-5321
Phone
(207) 744-0107
Fax
(207) 744-0104
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2016

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 SP636 ME Primary

Addresses

Primary practice location

78 Pikes HL
Suite 69
Norway, ME 04268-5321

Mailing address

78 Pikes HL
Suite 69
Norway, ME 04268-5321
Phone (207) 744-0107

Other identifiers 1

IdentifierTypeStateIssuer
218530000MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160518000257 ME Practitioner - Qualified Speech Language Pathologist 2163721531 Practice locations: Norway, ME

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452902400000",
    "number": "1720021538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 PIKES HL",
            "address_2": "SUITE 69",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685321",
            "telephone_number": "207-744-0107",
            "fax_number": "207-744-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 PIKES HL",
            "address_2": "SUITE 69",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685321",
            "telephone_number": "207-744-0107",
            "fax_number": "207-744-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERO",
        "first_name": "RICHARD",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218530000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norway, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.