Organization Active NPI

Dubuque Speech Solutions PLLC

  • Speech-Language Pathologist
  • Dubuque, IA
National Provider Identifier
1114631686
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
DUBUQUE SPEECH SOLUTIONS PLLC
Practice address
1470 Tower Dr Apt 3
Dubuque, IA 52003-8079
Phone
(563) 495-0335
NPI assigned
Jan 10, 2023
Last updated
Jan 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Miss Kelly Rose Pancratz, M.A., CCC-SLPNPI 1215538996
Title
Speech Language Pathologist
Phone
(563) 495-0335

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 Pathologist 235Z00000X Primary

Addresses

Primary practice location

1470 Tower Dr Apt 3
Dubuque, IA 52003-8079

Mailing address

1470 Tower Dr Apt 3
Dubuque, IA 52003-8079
Phone (156) 349-5033

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1114631686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 TOWER DR APT 3",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520038079",
            "telephone_number": "156-349-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 TOWER DR APT 3",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520038079",
            "telephone_number": "563-495-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBUQUE SPEECH SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "PANCRATZ",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "563-495-0335",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.