Organization Active NPI

Connections Speech & Language, LLC

  • Speech-Language Pathologist
  • Bend, OR
National Provider Identifier
1205496528
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CONNECTIONS SPEECH & LANGUAGE, LLC
Practice address
19198 Choctaw Rd
Bend, OR 97702-8961
Phone
(541) 728-3349
Fax
(888) 782-4224
NPI assigned
Jun 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Jerod P Michael, MC, CCC-SLPNPI 1891202396
Title
Owner, Speech-Language Pathologist
Phone
(541) 728-3349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

19198 Choctaw Rd
Bend, OR 97702-8961

Mailing address

19198 Choctaw Rd
Bend, OR 97702-8961

National Provider Directory

National Provider Directory

Locations

61149 S Highway 97
Bend, OR 97702

2736 NW Crossing Dr
Ste 120
Bend, OR 97703
Phone (541) 323-3937

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1205496528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19198 CHOCTAW RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977028961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19198 CHOCTAW RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977028961",
            "telephone_number": "541-728-3349",
            "fax_number": "888-782-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS SPEECH & LANGUAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "JEROD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "541-728-3349",
        "authorized_official_credential": "MC, 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": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.