Individual provider Active NPI

Vanessa Sue Coonce, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Grain Valley, MO
National Provider Identifier
1841554532
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2011024850 Issued in MO
Practice address
640 NW Jefferson St
Grain Valley, MO 64029-8278
Phone
(816) 785-2284
Fax
(816) 633-4371
NPI assigned
Jun 27, 2012
Last updated
Jun 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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 2011024850 MO Primary

Addresses

Primary practice location

640 NW Jefferson St
Grain Valley, MO 64029-8278

Mailing address

701 Opera House LN
Odessa, MO 64076-1624
Phone (816) 785-2284

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Mallory Steffen Speech Therapy, LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1841554532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 OPERA HOUSE LN",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640761624",
            "telephone_number": "816-785-2284",
            "fax_number": "816-633-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 NW JEFFERSON ST",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640298278",
            "telephone_number": "816-785-2284",
            "fax_number": "816-633-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONCE",
        "first_name": "VANESSA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2011024850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grain Valley, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.