Tiny But Mighty Nicu Transition Program, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

TINY BUT MIGHTY NICU TRANSITION PROGRAM, PLLC

Practice address

1112 Seminole Dr
Richardson, TX 75080-3931

Phone

(214) 937-5350

Fax

(469) 838-6488

NPI assigned

Jan 12, 2024

Organization subpart

No

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

Authorized official

Name

Gina Piske, MS-CCC/SLPNPI 1073123477

Title

Speech Pathologist, Owner

Phone

(214) 937-5350

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.

• Gina R Piske, SLP

  • Speech-Language Pathologist
  • Richardson, TX
  • NPI 1073123477
  NPD Authorized official

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1215708797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 SEMINOLE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803931",
            "telephone_number": "214-937-5350",
            "fax_number": "469-838-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 SEMINOLE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803931",
            "telephone_number": "214-937-5350",
            "fax_number": "469-838-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINY BUT MIGHTY NICU TRANSITION PROGRAM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "PISKE",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST, OWNER",
        "authorized_official_telephone_number": "214-937-5350",
        "authorized_official_credential": "MS-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": []
}

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• Speech-Language Pathologist in Richardson, TX
• Providers in Richardson, TX by specialty
• Speech-Language Pathologist in Texas

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