Organization Active NPI

Professional Speech & Language Services, PLLC

  • Speech-Language Pathologist
  • Lufkin, TX
National Provider Identifier
1093993941
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PROFESSIONAL SPEECH & LANGUAGE SERVICES, PLLC
Practice address
4100 S Medford Dr Ste 208
Lufkin, TX 75901-5616
Phone
(936) 639-3007
Fax
(936) 639-3012
NPI assigned
Feb 2, 2008
Last updated
Sep 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Authorized official

Name
Anita K Scoggins, CCC/SLPNPI 1477731321
Title
Managing Member
Phone
(936) 639-3007

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

4100 S Medford Dr Ste 208
Lufkin, TX 75901-5616

Mailing address

PO Box 952
Lufkin, TX 75902-0952
Phone (936) 639-3007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100216000850 TX Part B Supplier - Clinic/Group Practice 5698819548 Receives reassigned benefits from 2 practitioners
Practice locations: Lufkin, TX; Nacogdoches, TX

National Provider Directory

National Provider Directory

Locations

3416 E Denman Ave
Ste 11
Lufkin, TX 75901
Phone (936) 639-3007

3540 NE Stallings Dr
Ste 312
Nacogdoches, TX 75965
Phone (936) 639-3007

2610 N University Dr
#100
Nacogdoches, TX 75965
Phone (936) 564-0952

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1093993941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759020952",
            "telephone_number": "936-639-3007",
            "fax_number": "936-639-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S MEDFORD DR STE 208",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015616",
            "telephone_number": "936-639-3007",
            "fax_number": "936-639-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SPEECH & LANGUAGE SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-02",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "SCOGGINS",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "936-639-3007",
        "authorized_official_credential": "CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.