Active NPI
Star Communication Disorders
- Point of Service
- Clovis, NM
National Provider Identifier
1245622356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 3301
- Legal business name
- STAR COMMUNICATION DISORDERS
- Practice address
- 101 Burch PL
Clovis, NM 88101-2920 - Phone
- (575) 799-2270
- NPI assigned
- Feb 26, 2015
- 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
- Starlia S Clayton, MS, CCC-SLP
- Title
- Speech Pathologist
- Phone
- (575) 799-2270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 3301 | NM | Primary |
Addresses
Primary practice location
101 Burch PL
Clovis, NM 88101-2920
Mailing address
101 Burch Place
Clovis, NM 88101
Phone (575) 799-2270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33001 | Other | NM | STATE OF NM REGULATION & LICENSING DEP. SPEECH LANGUAGE PATHOLOGY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424908800000",
"number": "1245622356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BURCH PLACE",
"city": "CLOVIS",
"state": "NM",
"postal_code": "88101",
"telephone_number": "575-799-2270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BURCH PL",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881012920",
"telephone_number": "575-799-2270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR COMMUNICATION DISORDERS",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-26",
"last_updated": "2015-02-26",
"status": "A",
"authorized_official_last_name": "CLAYTON",
"authorized_official_first_name": "STARLIA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "SPEECH PATHOLOGIST",
"authorized_official_telephone_number": "575-799-2270",
"authorized_official_credential": "MS, CCC-SLP"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "NM",
"license": "3301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NM REGULATION & LICENSING DEP. SPEECH LANGUAGE PATHOLOGY",
"identifier": "33001",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.