Individual provider Active NPI

Brandi Nicole Mounce, CCC-SLP

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1740455781
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
101067 Issued in TX
Practice address
6655 First Park Ten Blvd Ste 200
San Antonio, TX 78213-4304
Phone
(210) 737-8090
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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 101067 TX Primary

Addresses

Primary practice location

6655 First Park Ten Blvd Ste 200
San Antonio, TX 78213-4304

Mailing address

8633 Wood FLS
San Antonio, TX 78251-2534
Phone (210) 520-0489

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
101067TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1740455781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8633 WOOD FLS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512534",
            "telephone_number": "210-520-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 FIRST PARK TEN BLVD STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134304",
            "telephone_number": "210-737-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNCE",
        "first_name": "BRANDI",
        "middle_name": "NICOLE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.