Organization Active NPI

Speech Depot

  • Speech-Language Pathologist
  • Ridgeland, MS
National Provider Identifier
1083062889
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S3351 Issued in MS
Legal business name
SPEECH DEPOT
Practice address
665 S Pear Orchard Rd
Suite 106-185
Ridgeland, MS 39157-4861
Phone
(601) 757-6954
NPI assigned
Jun 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Authorized official

Name
Mrs. Jameka Hooks-Tenort, M.S., CCC-SLP
Title
Speech-Language Pathologist
Phone
(769) 798-7378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X S3351 MS Primary

Addresses

Primary practice location

665 S Pear Orchard Rd
Suite 106-185
Ridgeland, MS 39157-4861

Mailing address

665 S Pear Orchard Rd
Suite 106-185
Ridgeland, MS 39157-4861

Other identifiers 2

IdentifierTypeStateIssuer
12130639OtherMSAMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION
S3351OtherMSMS HEALTH LICENSURE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1083062889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 S PEAR ORCHARD RD",
            "address_2": "SUITE 106-185",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 S PEAR ORCHARD RD",
            "address_2": "SUITE 106-185",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574861",
            "telephone_number": "601-757-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH DEPOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "HOOKS-TENORT",
        "authorized_official_first_name": "JAMEKA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "769-798-7378",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION",
            "identifier": "12130639",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS HEALTH LICENSURE",
            "identifier": "S3351",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.