NPIMap

Organization Active NPI

The Speech Garden, LLC

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1093839482
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
THE SPEECH GARDEN, LLC
Practice address
2017 Lyndhurst Ave
Charlotte, NC 28203-5313
Phone
(704) 609-8255
Fax
(704) 371-7385
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Mrs. Ellen E Holloway, M.A., CCC-SLPNPI 1396899332
Title
Speech-Language Pathologist
Phone
(704) 609-8255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2017 Lyndhurst Ave
Charlotte, NC 28203-5313

Mailing address

2017 Lyndhurst Ave
Charlotte, NC 28203-5313
Phone (704) 609-8255

Other identifiers 1

IdentifierTypeStateIssuer
7211329MedicaidNC

Other names 1

  • The Speech Garden Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1093839482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 LYNDHURST AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035313",
            "telephone_number": "704-609-8255",
            "fax_number": "704-371-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 LYNDHURST AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035313",
            "telephone_number": "704-609-8255",
            "fax_number": "704-371-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPEECH GARDEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "704-609-8255",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211329",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Speech Garden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.