Active NPI
Nancy J Noury, M.S., CC-SLP
- Speech-Language Pathologist
- Conroe, TX
National Provider Identifier
1992721476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 108759
- Practice address
- 750 Longmire Rd
Conroe, TX 77304-1893 - Phone
- (936) 363-4071
- NPI assigned
- Jul 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP00793 | RI | |
| Speech-Language Pathologist | 235Z00000X | 108759 | TX | Primary |
Addresses
Primary practice location
750 Longmire Rd
Conroe, TX 77304-1893
Mailing address
750 Longmire Rd
Conroe, TX 77304-1893
Phone (936) 363-4071
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2092 | Other | RI | EI NHPRC |
| 292177 | Other | RI | EI BLUE CROSS |
| 4600103 | Other | RI | EI UHP |
| ES01788 | Medicaid | RI | |
| 412296 | Other | RI | EI BLUE CHIP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108759 | TX | MD | Social Worker |
| SP00793 | RI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Care Southeast, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Meeting Street Center | Past | Accepting new patients | |
| Meeting Street Center | Past | Accepting new patients |
Locations
127 W Broad St
Ste 850
Lake Charles, LA 70601
Phone (337) 310-8500
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.
-
- Physical Therapist
- Lake Charles, LA
- NPI 1427466614
Speech-Language Pathologist, TX
-
- Hearing and Speech Clinic/Center
- Providence, RI
- NPI 1063534790
-
- Multi-Specialty Clinic/Center
- Providence, RI
- NPI 1154443885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648080000000",
"number": "1992721476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 LONGMIRE RD",
"city": "CONROE",
"state": "TX",
"postal_code": "773041893",
"telephone_number": "936-363-4071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 LONGMIRE RD",
"city": "CONROE",
"state": "TX",
"postal_code": "773041893",
"telephone_number": "936-363-4071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOURY",
"first_name": "NANCY",
"middle_name": "J",
"credential": "M.S., CC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "RI",
"license": "SP00793",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "108759",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EI NHPRC",
"identifier": "2092",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EI BLUE CROSS",
"identifier": "292177",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EI UHP",
"identifier": "4600103",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ES01788",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EI BLUE CHIP",
"identifier": "412296",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.