Life Speech, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

LIFE SPEECH, LLC

Practice address

2329 Prosser Rd
Knoxville, TN 37914-3324

Phone

(912) 665-4673

NPI assigned

Jun 14, 2023

Organization subpart

No

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

Authorized official

Name

Grace TrainerNPI 1760167068

Title

Owner

Phone

(865) 235-1886

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Grace Trainer

  • Speech-Language Pathologist
  • Knoxville, TN
  • NPI 1760167068
  NPD Authorized official
• Christina M Childs

  • Speech-Language Pathologist
  • Knoxville, TN
  • NPI 1689112500
  NPD (past)

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1053095646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 PARK GLEN RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379198258",
            "telephone_number": "912-665-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 PROSSER RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379143324",
            "telephone_number": "912-665-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SPEECH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "TRAINER",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-235-1886"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q084552",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Liedle
• Christiana Marie Lietzke, MD
• Life Connections Autism Services
• Life Connections Counseling Services, PLLC
• Life Connections Counseling Services, PLLC
• Life Well Pharmacy, LLC
• Lifeguard Ambulance Service LLC
• Lifepaths Therapy, LLC
• Sherry Light, LCSW
• Donald Eugene Lighter II, MD

• Speech-Language Pathologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.