NPIMap

Organization Active NPI

Spectrum Speech and Language Services, LLC

  • Speech-Language Pathologist
  • Wellington, FL
National Provider Identifier
1043543226
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPECTRUM SPEECH AND LANGUAGE SERVICES, LLC
Practice address
12773 W. Forest Hill Blvd
Suite 1205
Wellington, FL 33414
Phone
(561) 753-4998
Fax
(561) 753-4911
NPI assigned
Sep 6, 2009
Last updated
Dec 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Alison M Evans, CCC-SLPNPI 1790910388
Title
Owner
Phone
(561) 753-4998

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
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

12773 W. Forest Hill Blvd
Suite 1205
Wellington, FL 33414

Mailing address

12773 W. Forest Hill Blvd
Suite 1205
Wellington, FL 33414
Phone (561) 753-4998

Other identifiers 1

IdentifierTypeStateIssuer
001173000MedicaidFL

National Provider Directory

National Provider Directory

Locations

12161 Ken Adams Way
Ste 113
Wellington, FL 33414
Phone (561) 358-8043

12773 Forest Hill Blvd
Ste 1205
Wellington, FL 33414
Phone (561) 753-4998

12785 Forest Hill Blvd
Ste 8G
Wellington, FL 33414
Phone (561) 753-4911

Practitioners & affiliated clinicians

Practitioners 6

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": "1252195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1043543226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12773 W. FOREST HILL BLVD",
            "address_2": "SUITE 1205",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-753-4998",
            "fax_number": "561-753-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12773 W. FOREST HILL BLVD",
            "address_2": "SUITE 1205",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-753-4998",
            "fax_number": "561-753-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM SPEECH AND LANGUAGE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-06",
        "last_updated": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-753-4998",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001173000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.