Organization Active NPI

Pathways 2 Speech

  • Audiologist
  • Vista, CA
National Provider Identifier
1003113408
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
CERT. AVT 1031201020 Issued in CA
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

Updated by the provider on Feb 21, 2011

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)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X CERT. AVT 1031201020 CA Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.