Active NPI
Speech Depot
- Speech-Language Pathologist
- Ridgeland, MS
National Provider Identifier
1083062889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S3351
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12130639 | Other | MS | AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION |
| S3351 | Other | MS | MS HEALTH LICENSURE |
National Provider Directory
National Provider DirectoryNPI 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.