Land Pediatric Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4424 Issued in NC

Legal business name

LAND PEDIATRIC SPEECH THERAPY

Practice address

4108 Cascade Dr
Greensboro, NC 27410-3910

Phone

(336) 202-7604

Fax

(336) 852-9342

NPI assigned

Apr 16, 2013

Organization subpart

No

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

Authorized official

Name

Tania L.B. Land, CCC-SLPNPI 1871621169

Title

Owner

Phone

(336) 202-7604

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tania Lorriaine Bumgarner Land, MA, CCC-SLP

  • Speech-Language Pathologist
  • Greensboro, NC
  • NPI 1871621169
  NPD (past) Authorized official

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1144663535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 CASCADE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103910",
            "telephone_number": "336-202-7604",
            "fax_number": "336-852-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 CASCADE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103910",
            "telephone_number": "336-202-7604",
            "fax_number": "336-852-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAND PEDIATRIC SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "LAND",
        "authorized_official_first_name": "TANIA",
        "authorized_official_middle_name": "L.B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-202-7604",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "4424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7411443",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louise Lampron-Welker, PHD
• Lesia Ann Lancaster, LPCA
• William Clay Lancaster III, D.O.
• Beverly Louya Lance, CMA
• Ingram Claudette Land Deans, MA/CCC-SLP
• Tania Lorriaine Bumgarner Land, MA, CCC-SLP
• Joshua P Landau, M.D.
• Steven Edward Landau, M.D.
• Landflight Express LLC
• Landflight Medical Supply Inc

• Speech-Language Pathologist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.