Active NPI
Pathways 2 Speech
- Audiologist
- Vista, CA
National Provider Identifier
1003113408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- CERT. AVT 1031201020
- Legal business name
- PATHWAYS 2 SPEECH
- Practice address
- 719 Franklin LN
Vista, CA 92084-5153 - Phone
- (760) 518-8563
- Fax
- (760) 480-7366
- NPI assigned
- Feb 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mary Elizabeth Clemons, M.A.
- Title
- LSLS Cert. Avt, CCC-SLP
- Phone
- (760) 518-8563
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | CERT. AVT 1031201020 | CA | Primary |
| Speech-Language Pathologist | 235Z00000X | SP9784 | CA |
Addresses
Primary practice location
719 Franklin LN
Vista, CA 92084-5153
Mailing address
719 Franklin LN
Vista, CA 92084-5153
Phone (760) 518-8563
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298246400000",
"number": "1003113408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 FRANKLIN LN",
"city": "VISTA",
"state": "CA",
"postal_code": "920845153",
"telephone_number": "760-518-8563",
"fax_number": "760-480-7366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 FRANKLIN LN",
"city": "VISTA",
"state": "CA",
"postal_code": "920845153",
"telephone_number": "760-518-8563",
"fax_number": "760-480-7366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAYS 2 SPEECH",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-21",
"last_updated": "2011-02-21",
"status": "A",
"authorized_official_last_name": "CLEMONS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "LSLS CERT. AVT, CCC-SLP",
"authorized_official_telephone_number": "760-518-8563",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.A."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": "CA",
"license": "CERT. AVT 1031201020",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP9784",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.