Active NPI
Connections Speech & Language, LLC
- Speech-Language Pathologist
- Bend, OR
National Provider Identifier
1205496528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerod P Michael, MC, CCC-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryLocations
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.
-
- Speech-Language Pathologist
- Bend, OR
- NPI 1891202396
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.