Nancy Dee Averill, MA, CC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202009066 Issued in VA

Practice address

20 Westwood Medical Park
Bluefield, VA 24605-2003

Phone

(276) 322-5439

NPI assigned

Jun 1, 2009

Last updated

Mar 12, 2019By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Tuba City Regional Health Care Corporation

  dba Tuba City Indian Medical Center

  • General Acute Care Hospital
  • Tuba City, AZ
  • NPI 1548294424

  TX

  Medicare reassignment NPD
• Tuba City Regional Health Care Corporation

  dba Bodaway Gap Clinic

  • Family Medicine Physician
  • Bodaway Gap, AZ
  • NPI 1710519913
  NPD
• Kirksville Missouri Hospital Company, LLC

  dba Northeast Regional Medical Center

  • General Acute Care Hospital
  • Kirksville, MO
  • NPI 1104899442
  NPD (past)

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1992931216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12211 MEETINGHOUSE DR",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314559",
            "telephone_number": "660-216-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WESTWOOD MEDICAL PARK",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052003",
            "telephone_number": "276-322-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERILL",
        "first_name": "NANCY",
        "middle_name": "DEE",
        "credential": "MA, CC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2005014671",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202009066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992931216",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alvin Angcanan, P.T.
• Anthony D. Rasi, D.O.
• Appalachian Hearing and Balance
• Donald Walter Asbury, MD
• Carlene D Ashley, D.O.
• Susan A. Ball, COTA
• Frederick W Barker, MD
• Jessica Beasley
• Erika Elaine Bell, MS,LAT,ATC
• Louisa Roberts Bennitt, LCSW

• Speech-Language Pathologist in Bluefield, VA
• Providers in Bluefield, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.