Bloom & Speak Bilingual TX LLC

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA7427 Issued in AZ

Legal business name

BLOOM & SPEAK BILINGUAL TX LLC

Practice address

4848 E Roosevelt St
Apt. 2037
Phoenix, AZ 85008-7327

Phone

(480) 648-3502

Fax

(480) 499-5879

NPI assigned

Jan 3, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Lizette Virisimo

Title

Ceo

Phone

(480) 241-6442

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.

• Lizette T. Virissimo

  • Speech-Language Assistant
  • Phoenix, AZ
  • NPI 1316225022
  NPD (past)

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1205106689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15774",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850605774",
            "telephone_number": "480-648-3502",
            "fax_number": "480-499-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 E ROOSEVELT ST",
            "address_2": "APT. 2037",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087327",
            "telephone_number": "480-648-3502",
            "fax_number": "480-499-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM & SPEAK BILINGUAL TX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "VIRISIMO",
        "authorized_official_first_name": "LIZETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-241-6442",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA7427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trenton Douglas Blocker, MS, LAC, BHP
• E. Fredrick Bloemker, M.D.
• Kathleen Blomberg
• Blood Vessel Mobile Phlebotomy
• Bloom & Breathe Therapy
• Bloom Behavioral Community
• Bloom Home Assisted Living
• Katherine Kramer Bloom, LPC
• Pacific Bloom
• Bloom365

• Speech-Language Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.