Speechworks 4 Kids, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202006366 Issued in VA

Legal business name

SPEECHWORKS 4 KIDS, INC.

Practice address

12026 Lake Dorian Dr
Bristow, VA 20136-6169

Phone

(478) 213-4604

Fax

(571) 379-8807

NPI assigned

Aug 16, 2013

Last updated

Oct 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Gonzalez, M. A., CCC-SLPNPI 1336266261

Title

President: SLP

Phone

(478) 213-4604

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Shannon Susanne Gonzalez, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Forsyth, GA
  • NPI 1336266261
  Authorized official Same address or phone

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1073946786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12026 LAKE DORIAN DR",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201366169",
            "telephone_number": "478-213-4604",
            "fax_number": "571-379-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12026 LAKE DORIAN DR",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201366169",
            "telephone_number": "478-213-4604",
            "fax_number": "571-379-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECHWORKS 4 KIDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT: SLP",
        "authorized_official_telephone_number": "478-213-4604",
        "authorized_official_credential": "M. A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073946786",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Smith
• Courtney Smith
• Glenna Virginia Smith, NCSP
• Sara Smith
• Janice Soliven, M.D.
• John Hunter Spencer Jr., CSACA
• Chelsea R Spinks, PHARMD
• Leslie Stachelski
• Emily Marie Sterling, ATC
• Steve Pleickhardt DDS PLC

• Speech-Language Pathologist in Bristow, VA
• Providers in Bristow, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.