Organization Active NPI

Speaklife Speech, Language, and Literacy Services

  • Speech-Language Pathologist
  • Indian Trail, NC
National Provider Identifier
1205564655
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEAKLIFE SPEECH, LANGUAGE, AND LITERACY SERVICES
Practice address
732 Indian Trail Fairview Rd
Indian Trail, NC 28079-7685
Phone
(850) 445-6076
NPI assigned
Aug 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Authorized official

Name
Dr. Kimberly Caren Crawford Lackey, PH.D., CCC-SLPNPI 1659563625
Title
Owner/Clinical Director
Phone
(850) 445-6076

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

732 Indian Trail Fairview Rd
Indian Trail, NC 28079-7685

Mailing address

5561 Braddock Mill Way
Lancaster, SC 29720-0279
Phone (850) 445-6076

Other practice location 1

5561 Braddock Mill Way
Lancaster, SC 29720-0279
Phone (850) 445-6076

National Provider Directory

National Provider Directory

Locations

732 Indian Trail Fairview Rd
Indian Trail, NC 28079
Phone (850) 445-6076

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": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1205564655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5561 BRADDOCK MILL WAY",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297200279",
            "telephone_number": "850-445-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 INDIAN TRAIL FAIRVIEW RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280797685",
            "telephone_number": "850-445-6076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5561 Braddock Mill Way",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "SC",
            "postal_code": "297200279",
            "country_code": "US",
            "telephone_number": "850-445-6076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPEAKLIFE SPEECH, LANGUAGE, AND LITERACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD LACKEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "CAREN",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "850-445-6076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., 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 Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.