Vicky Lee Pelphrey, MA, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA5952 Issued in FL

Practice address

516 Tamiami TRL S Unit 306
Harbor Villas at Dona Bay
Nokomis, FL 34275-3184

Phone

(941) 376-0560

Fax

(941) 296-7476

NPI assigned

Dec 30, 2011

Last updated

Dec 30, 2011By the provider in NPPES

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1932479466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 TAMIAMI TRL S UNIT 306",
            "address_2": "HARBOR VILLAS AT DONA BAY",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342753184",
            "telephone_number": "941-376-0560",
            "fax_number": "941-296-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 TAMIAMI TRL S UNIT 306",
            "address_2": "HARBOR VILLAS AT DONA BAY",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342753184",
            "telephone_number": "941-376-0560",
            "fax_number": "941-296-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELPHREY",
        "first_name": "VICKY",
        "middle_name": "LEE",
        "credential": "MA, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Nokomis, FL
• Providers in Nokomis, 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 Dec 30, 2011; 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.