Changing Phases Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CHANGING PHASES SPEECH THERAPY

Practice address

804 Lancaster LN
Newport News, VA 23602-8820

Phone

(757) 898-0231

Fax

(757) 898-0231

NPI assigned

Jan 5, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Nwakego I Thomas, MA, CCC-SLP

Title

Owner/ Lead Therapist

Phone

(757) 898-0231

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1083202089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 LANCASTER LN",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028820",
            "telephone_number": "757-898-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 LANCASTER LN",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028820",
            "telephone_number": "757-898-0231",
            "fax_number": "757-898-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING PHASES SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "NWAKEGO",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER/ LEAD THERAPIST",
        "authorized_official_telephone_number": "757-898-0231",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Smartbear",
            "affiliation": "N",
            "address_1": "804 Lancaster Ln",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236028820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Newport News, VA
• Providers in Newport News, 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 Jan 5, 2021; 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.