Organization Active NPI

Silver Tongue Speech & Voice, LLC

  • Hearing and Speech Clinic/Center
  • Farmington, NM
National Provider Identifier
1003338732
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
5051290 Issued in NM
Legal business name
SILVER TONGUE SPEECH & VOICE, LLC
Practice address
3001 Northridge Dr Ste C
Farmington, NM 87401
Phone
(505) 860-1485
Fax
(505) 570-5462
NPI assigned
Jul 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Authorized official

Name
Brenna Camille Price, M.S., CCC-SLPNPI 1447772298
Title
Sole Member
Phone
(505) 860-1485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 5051290 NM Primary

Addresses

Primary practice location

3001 Northridge Dr Ste C
Farmington, NM 87401

Mailing address

4771 Sunrise Cir
Farmington, NM 87401-9299

Other names 1

  • Silver Tongue Speech Therapy Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180919002016 NM Part B Supplier - Clinic/Group Practice 9335404995 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington, NM

National Provider Directory

National Provider Directory

Locations

3001 Northridge Dr
Ste C
Farmington, NM 87401
Phone (505) 860-1485

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1003338732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4771 SUNRISE CIR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 NORTHRIDGE DR STE C",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-860-1485",
            "fax_number": "505-570-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER TONGUE SPEECH & VOICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "BRENNA",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "505-860-1485",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NM",
            "license": "5051290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Tongue Speech Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.