Vivid Speech Therapy PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

VIVID SPEECH THERAPY PLLC

Practice address

3006 Bee Caves Rd Ste a-216
Austin, TX 78746-5588

Phone

(512) 400-4171

Fax

(512) 400-4171

NPI assigned

Oct 31, 2019

Organization subpart

No

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

Authorized official

Name

Ashley Buba

Title

Owner, Speech-Language Pathologist

Phone

(512) 400-4171

Specialties & licenses 1

Addresses

Other names 1

• Vivid Speech Former legal business name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1114561396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 BEE CAVES RD STE A-216",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465588",
            "telephone_number": "512-400-4171",
            "fax_number": "512-400-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 BEE CAVES RD STE A-216",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465588",
            "telephone_number": "512-400-4171",
            "fax_number": "512-400-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVID SPEECH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "BUBA",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "512-400-4171"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ashley@vividspeechtherapy.com",
            "affiliation": "N",
            "address_1": "3006 Bee Caves Rd Ste A-216",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787465588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vivid Speech",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Speech-Language Pathologist in Austin, TX
• Providers in Austin, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.