Organization Active NPI

Folsom Advanced Speech Therapy

  • Speech-Language Pathologist
  • Folsom, CA
National Provider Identifier
1124689294
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
FOLSOM ADVANCED SPEECH THERAPY
Practice address
555 Oakdale St Ste F
Folsom, CA 95630-2451
Phone
(775) 673-4455
Fax
(775) 673-4457
NPI assigned
Jun 27, 2019
Last updated
Jun 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Laniesa Garcia
Title
Office Manager
Phone
(775) 673-4455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

555 Oakdale St Ste F
Folsom, CA 95630-2451

Mailing address

555 Oakdale St Ste F
Folsom, CA 95630-2451
Phone (775) 673-4455

National Provider Directory

National Provider Directory

Locations

555 Oakdale St
Ste F
Folsom, CA 95630
Phone (916) 293-5520

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1124689294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 OAKDALE ST STE F",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302451",
            "telephone_number": "775-673-4455",
            "fax_number": "775-673-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 OAKDALE ST STE F",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302451",
            "telephone_number": "775-673-4455",
            "fax_number": "775-673-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLSOM ADVANCED SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "LANIESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "775-673-4455"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.