NPIMap

Organization Active NPI

Speech 4 Kidz Inc.

  • Speech-Language Pathologist
  • Jacksonville, NC
National Provider Identifier
1114972411
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH 4 KIDZ INC.
Practice address
58 Office Park Dr
Jacksonville, NC 28546-3218
Phone
(910) 353-2440
Fax
(910) 313-0951
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Authorized official

Name
Amy Nored Howard, M.S., CCC-SLP
Title
Chief Executive Officer
Phone
(910) 470-7937

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

58 Office Park Dr
Jacksonville, NC 28546-3218

Mailing address

1651 Verrazzano Dr
Wilmington, NC 28405-4225
Phone (910) 470-7937

Other identifiers 6

IdentifierTypeStateIssuer
7211665MedicaidNC
7412574MedicaidNC
7411305MedicaidNC
7412550MedicaidNC
7412575MedicaidNC
7412551MedicaidNC

Other names 1

  • speech 4 kidz Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Speech 4 Kidz Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2543 Ravenhill Dr
Fayetteville, NC 28303

1306 Fort Bragg Rd
Fayetteville, NC 28305
Phone (910) 751-0350

26 Southend CT Ste 1
Hampstead, NC 28443

58 Office Park Dr
Jacksonville, NC 28546
Phone (910) 353-2440

1174 Turlington Ave
#203
Leland, NC 28451

Practitioners & affiliated clinicians

Practitioners 2

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": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1114972411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 VERRAZZANO DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284054225",
            "telephone_number": "910-470-7937",
            "fax_number": "910-313-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285463218",
            "telephone_number": "910-353-2440",
            "fax_number": "910-313-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH 4 KIDZ INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "NORED",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "910-470-7937",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211665",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412574",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7411305",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412550",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412575",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412551",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "speech 4 kidz",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "speech 4 kidz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.