Cherry Blossom Speech, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CHERRY BLOSSOM SPEECH, PLLC

Practice address

10299 Woodman Rd
Glen Allen, VA 23060-4419

Phone

(804) 339-8761

NPI assigned

Jan 11, 2024

Organization subpart

No

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

Authorized official

Name

Mariam Cherry, M.S., CCC-SLPNPI 1649799768

Title

Owner

Phone

(804) 339-8761

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mariam Cherry

  • Speech-Language Pathologist
  • Henrico, VA
  • NPI 1649799768
  NPD Authorized official

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1194596809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8107 MICHAEL RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232294903",
            "telephone_number": "804-339-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10299 WOODMAN RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604419",
            "telephone_number": "804-339-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY BLOSSOM SPEECH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-339-8761",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Chang, DPT
• Joanna Chaplin, OTD, OTR/L
• Chapters Health Hospice, Inc.
• Andre Charles, DC
• Mallika R Chary, DDS
• Lisa D Chestnut, M.D.
• Ruiping CHI, L.AC
• Clarence G. Childress, M.D.
• Ananya Chillara
• Chiro One Wellness Center of Glen Allen LLC

• All providers in Glen Allen, VA
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.