NPIMap

Organization Active NPI

Associates in Speech-Language Pathology, LLC

  • Speech-Language Pathologist
  • Melbourne, FL
National Provider Identifier
1013277318
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA10305 Issued in FL
Legal business name
ASSOCIATES IN SPEECH-LANGUAGE PATHOLOGY, LLC
Practice address
2226 Sarno Rd
#101
Melbourne, FL 32935-3087
Phone
(321) 241-4816
Fax
(321) 241-4817
NPI assigned
May 21, 2012
Last updated
Dec 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Ms. Laurie A Wells, MA CCC-SLPNPI 1780987271
Title
Owner
Phone
(321) 241-4816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA10305 FL Primary

Addresses

Primary practice location

2226 Sarno Rd
#101
Melbourne, FL 32935-3087

Mailing address

2226 Sarno Rd
#101
Melbourne, FL 32935-3087
Phone (321) 241-4816

Other identifiers 1

IdentifierTypeStateIssuer
004780400MedicaidFL

National Provider Directory

National Provider Directory

Locations

2226 Sarno Rd
Ste 101
Melbourne, FL 32935
Phone (321) 241-4816

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1013277318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 SARNO RD",
            "address_2": "#101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353087",
            "telephone_number": "321-241-4816",
            "fax_number": "321-241-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 SARNO RD",
            "address_2": "#101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353087",
            "telephone_number": "321-241-4816",
            "fax_number": "321-241-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN SPEECH-LANGUAGE PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-241-4816",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004780400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.