NPIMap

Organization Active NPI

Speech 4 Kidz

  • Speech-Language Pathologist
  • Wilmington, NC
National Provider Identifier
1124356795
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
Practice address
5919 Oleander Dr
#120
Wilmington, NC 28403-4780
Phone
(910) 395-2995
NPI assigned
Nov 19, 2009
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 Howard, MS, CCC-SLP
Title
Speech-Language Pathologist
Phone
(910) 395-2995

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

5919 Oleander Dr
#120
Wilmington, NC 28403-4780

Mailing address

5919 Oleander Dr
#120
Wilmington, NC 28403-4780
Phone (910) 395-2995

Other identifiers 1

IdentifierTypeStateIssuer
1023030650010OtherPAPENNSYLVANIA DEPT OF PUBLIC WELFARE MEDICAL ASSISTANCE PROVIDER

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

5919 Oleander Dr
Ste 120
Wilmington, NC 28403
Phone (910) 395-2995

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1124356795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5919 OLEANDER DR",
            "address_2": "#120",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034780",
            "telephone_number": "910-395-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5919 OLEANDER DR",
            "address_2": "#120",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034780",
            "telephone_number": "910-395-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH 4 KIDZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "910-395-2995",
        "authorized_official_credential": "MS, 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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA DEPT OF PUBLIC WELFARE MEDICAL ASSISTANCE PROVIDER",
            "identifier": "1023030650010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, 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.