Active NPI
Speech Therapy for Kids, LLC
- Speech-Language Pathologist
- Starkville, MS
National Provider Identifier
1124356605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S2545
- Legal business name
- SPEECH THERAPY FOR KIDS, LLC
- Practice address
- 501 Highway 12 W Ste a&D
Starkville, MS 39759-3654 - Phone
- (662) 574-2634
- Fax
- (662) 338-5439
- NPI assigned
- Nov 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Melissa Long Davis, M.S., CCC-SLP
- Title
- Owner
- Phone
- (662) 574-2634
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S2545 | MS | Primary |
Addresses
Primary practice location
501 Highway 12 W Ste a&D
Starkville, MS 39759-3654
Mailing address
923 Live Oak LN
Starkville, MS 39759-8565
Phone (662) 574-2634
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07384811 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
501 Highway 12 W
Ste Ad
Starkville, MS 39759
Phone (662) 574-2634
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Starkville, MS
- NPI 1972890325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258934400000",
"number": "1124356605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 LIVE OAK LN",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397598565",
"telephone_number": "662-574-2634",
"fax_number": "662-338-5439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 HIGHWAY 12 W STE A&D",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397593654",
"telephone_number": "662-574-2634",
"fax_number": "662-338-5439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH THERAPY FOR KIDS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-23",
"last_updated": "2009-11-23",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "LONG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-574-2634",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S2545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07384811",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Starkville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.