Megan Van Name

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 12590 Issued in FL

Practice address

1242 N Duval St
Tallahassee, FL 32303-6115

Phone

(941) 920-0734

NPI assigned

Aug 31, 2012

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": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1750630091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 N DUVAL ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 N DUVAL ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036115",
            "telephone_number": "941-920-0734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13001 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Loxahatchee",
            "state": "FL",
            "postal_code": "334709203",
            "country_code": "US",
            "telephone_number": "561-798-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN NAME",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 12590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Valerstain, MD
• Christina Vallone
• Austyn West Van Der Linden, LCSW
• Ashley Van Dokkum
• Brooklyn Lee Van Lith
• Halle Lyons Van Oss, AU.D.
• Donald John Van Tassel, D.C.
• Mary Elizabeth Van Vliet, APRN
• Kathryn Van Zwieten, CNS, LDN
• Courtney Marie Vance, MD

• Speech-Language Pathologist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.