NPIMap

Organization Active NPI

Innovative Speech Therapy Services, LLC

  • Speech-Language Pathologist
  • Harrisonburg, LA
National Provider Identifier
1063742849
Registry record updated Jan 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4723 Issued in LA
Legal business name
INNOVATIVE SPEECH THERAPY SERVICES, LLC
Practice address
302 Bushley Street
Suite a
Harrisonburg, LA 71340
Phone
(318) 312-2294
Fax
(318) 744-5368
NPI assigned
Dec 30, 2009
Last updated
Jan 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2010

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

Authorized official

Name
Anna Borne, SLPNPI 1134458193
Title
Owner
Phone
(318) 312-2294

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 4723 LA Primary

Addresses

Primary practice location

302 Bushley Street
Suite a
Harrisonburg, LA 71340

Mailing address

302 Bushley Street
Suite a
Harrisonburg, LA 71340
Phone (318) 312-2294

National Provider Directory

National Provider Directory

Locations

302 Bushley St
#A
Harrisonburg, LA 71340
Phone (318) 312-2294

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": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262995200000",
    "number": "1063742849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BUSHLEY STREET",
            "address_2": "SUITE A",
            "city": "HARRISONBURG",
            "state": "LA",
            "postal_code": "71340",
            "telephone_number": "318-312-2294",
            "fax_number": "318-744-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BUSHLEY STREET",
            "address_2": "SUITE A",
            "city": "HARRISONBURG",
            "state": "LA",
            "postal_code": "71340",
            "telephone_number": "318-312-2294",
            "fax_number": "318-744-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SPEECH THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2010-01-09",
        "status": "A",
        "authorized_official_last_name": "BORNE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-312-2294",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "4723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2010; 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.