Individual provider Active NPI

Nancy J Noury, M.S., CC-SLP

  • Speech-Language Pathologist
  • Conroe, TX
National Provider Identifier
1992721476
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
108759 Issued in TX
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

Updated by the provider on Mar 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2092OtherRIEI NHPRC
292177OtherRIEI BLUE CROSS
4600103OtherRIEI UHP
ES01788MedicaidRI
412296OtherRIEI BLUE CHIP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912000835 TX Practitioner - Qualified Speech Language Pathologist 6800250739 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
108759TXMDSocial Worker
SP00793RIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Care Southeast, LLC Speech-Language Pathologist CurrentSince Jul 1, 2023 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.

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.

Verify at the official NPI Registry.