Penny Marie Bise, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S0277 Issued in MS

Practice address

400 Veterans Ave
Asps 126
Biloxi, MS 39531-2410

Phone

(228) 523-5488

Fax

(228) 523-4518

NPI assigned

Jul 9, 2006

Last updated

Jul 8, 2007By 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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740213172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 BAYOU CIR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395074600",
            "telephone_number": "228-209-5849",
            "fax_number": "228-523-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VETERANS AVE",
            "address_2": "ASPS 126",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312410",
            "telephone_number": "228-523-5488",
            "fax_number": "228-523-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISE",
        "first_name": "PENNY",
        "middle_name": "MARIE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S0277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biloxi Vamc
• Biloxi Vamc
• Tabia Shada Binns, PMHNP
• Bio-Medical Applications of Mississippi, Inc. (South Mississippi Kidney Center (SMKC) - Biloxi)
• Tiffany Robin Bird, PHARM D
• Wade Bishop, DMD
• Bernd Klaus Bismark, DC
• Thomas Rayford Blackledge Jr., MD
• Tammy Demoria Blackmore
• Jessica Anne Blair, PA-C

• Speech-Language Pathologist in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Speech-Language Pathologist in Mississippi

• 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.