The Speech Academy, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

18193 Issued in CA

Legal business name

THE SPEECH ACADEMY, INC.

Practice address

242 Park LN
Vacaville, CA 95687-6673

Phone

(707) 372-5686

NPI assigned

Oct 18, 2016

Organization subpart

No

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

Authorized official

Name

Miss Nicole Kimberly Gregg, M.A., CCC-SLPNPI 1356883714

Title

Speech-Language Pathologist

Phone

(707) 372-5686

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.

• Nicole K Gregg, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Vacaville, CA
  • NPI 1356883714
  NPD (past) Authorized official

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1235680851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 PARK LN",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 PARK LN",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876673",
            "telephone_number": "707-372-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPEECH ACADEMY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "KIMBERLY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "707-372-5686",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.