Individual provider Active NPI

Virginia Anne Nelson, MS SLP

  • Speech-Language Pathologist
  • Guthrie Center, IA
National Provider Identifier
1811988348
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01624 Issued in IA
Practice address
2400 Poplar Ave
Guthrie Center, IA 50115-8878
Phone
(641) 757-2830
NPI assigned
Nov 3, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 01624 IA Primary

Addresses

Primary practice location

2400 Poplar Ave
Guthrie Center, IA 50115-8878

Mailing address

6910 Panorama Dr
Panora, IA 50216-8753
Phone (641) 757-2830

Other names 1

  • Miss Virginia Anne Mosely Former name

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
01624IAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811988348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 PANORAMA DR",
            "city": "PANORA",
            "state": "IA",
            "postal_code": "502168753",
            "telephone_number": "641-757-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 POPLAR AVE",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "501158878",
            "telephone_number": "641-757-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "VIRGINIA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MS  SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "01624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "MOSELY",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "credential": "BA SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Guthrie Center, IA

Sources for this page

  • 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.