Merdina Nash, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2065 Issued in AR

Practice address

1026 Iowa Colony Rd
Hollister, MO 65672-5275

Phone

(501) 658-7505

NPI assigned

Sep 11, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Therateam Rehab Services

  • Speech-Language Pathologist
  • Roland, AR
  • NPI 1639136807
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1790970861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 IOWA COLONY RD",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656725275",
            "telephone_number": "501-658-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 IOWA COLONY RD",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656725275",
            "telephone_number": "501-658-7505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20900 Roland Heights Rd",
            "address_purpose": "LOCATION",
            "city": "Roland",
            "state": "AR",
            "postal_code": "721359685",
            "country_code": "US",
            "telephone_number": "501-868-4740",
            "fax_number": "501-868-6498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASH",
        "first_name": "MERDINA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "12050698",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "2065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149345721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Clinic-Springfield Communities
• Katherine A Miller
• Amie Mousseau, PHARM.D
• Michael John Munn, APRN
• N & R of Hollister, LLC
• Brandon Neds, PT
• Courtney Notley, DDS
• Kerrie Nell Patton, P.T.
• Nezerae Rose Phillips, LMSW
• Plastic Surgery & Weight Loss CNTR

• Speech-Language Pathologist in Hollister, MO
• Providers in Hollister, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.