NPIMap

Organization Active NPI

Tyler Speech Improvement Services

  • Speech-Language Pathologist
  • Tyler, TX
National Provider Identifier
1063664670
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18459 Issued in TX
Legal business name
TYLER SPEECH IMPROVEMENT SERVICES
Practice address
401 E Front St
Suite 123
Tyler, TX 75702-8213
Phone
(903) 531-2581
Fax
(903) 531-2451
NPI assigned
Oct 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Suzanne C Krause, MA,CCC
Title
Speech-Language Pathologist/Owner
Phone
(903) 531-2581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 18459 TX Primary

Addresses

Primary practice location

401 E Front St
Suite 123
Tyler, TX 75702-8213

Mailing address

401 E Front St
Suite 123
Tyler, TX 75702-8213
Phone (903) 531-2581

Other identifiers 2

IdentifierTypeStateIssuer
149086402MedicaidTX
152131OtherTXCHIP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1063664670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E FRONT ST",
            "address_2": "SUITE 123",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028213",
            "telephone_number": "903-531-2581",
            "fax_number": "903-531-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E FRONT ST",
            "address_2": "SUITE 123",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028213",
            "telephone_number": "903-531-2581",
            "fax_number": "903-531-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER SPEECH IMPROVEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "903-531-2581",
        "authorized_official_credential": "MA,CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "18459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149086402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP",
            "identifier": "152131",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.