Active NPI
South Shore Speech LLC
- Speech-Language Pathologist
- Battle Creek, MI
National Provider Identifier
1003898123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SOUTH SHORE SPEECH LLC
- Practice address
- 395 S Shore Dr
Suite 310
Battle Creek, MI 49015-4466 - Phone
- (269) 660-1025
- Fax
- (269) 660-1588
- NPI assigned
- Nov 15, 2005
- 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
- Peggy M Wray, MA CCC SLP
- Title
- Speech Language Pathologist
- Phone
- (269) 660-1025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
395 S Shore Dr
Suite 310
Battle Creek, MI 49015-4466
Mailing address
395 S Shore Dr
Suite 310
Battle Creek, MI 49015-4466
Phone (269) 660-1025
National Provider Directory
National Provider DirectoryLocations
395 S Shore Dr
Ste 310
Battle Creek, MI 49014
Phone (269) 660-1025
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Battle Creek, MI
- NPI 1144062696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003898123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 S SHORE DR",
"address_2": "SUITE 310",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490154466",
"telephone_number": "269-660-1025",
"fax_number": "269-660-1588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 S SHORE DR",
"address_2": "SUITE 310",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490154466",
"telephone_number": "269-660-1025",
"fax_number": "269-660-1588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH SHORE SPEECH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WRAY",
"authorized_official_first_name": "PEGGY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "269-660-1025",
"authorized_official_credential": "MA CCC SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.