Individual provider Active NPI

Devyn Noelle Sponder, CCC-SLP

  • Speech-Language Pathologist
  • Sioux City, IA
National Provider Identifier
1982162558
Registry record updated Mar 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
083879 Issued in IA
Practice address
2524 Glenn Ave
Sioux City, IA 51106-2768
Phone
(712) 226-2253
NPI assigned
Mar 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2019

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 083879 IA Primary

Addresses

Primary practice location

2524 Glenn Ave
Sioux City, IA 51106-2768

Mailing address

2524 Glenn Ave
Sioux City, IA 51106-2768
Phone (712) 226-2253

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
083879IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Care Hospital and School Dba Lifescape Speech-Language Pathologist PastSince Jan 1, 2015 Accepting new patients
Childworks Therapy Clinic, PLLC Speech-Language Pathologist Past Accepting new patients
Children'S Care Hospital and School Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1551571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551571200000",
    "number": "1982162558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 GLENN AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511062768",
            "telephone_number": "712-226-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 GLENN AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511062768",
            "telephone_number": "712-226-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPONDER",
        "first_name": "DEVYN",
        "middle_name": "NOELLE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-03",
        "last_updated": "2019-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "083879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.