Active NPI
Spontaneous Expressions LLC
- Speech-Language Pathologist
- Georgetown, TX
National Provider Identifier
1265024202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SPONTANEOUS EXPRESSIONS LLC
- Practice address
- 601 Quail Valley Dr
Georgetown, TX 78626-8051 - Phone
- (512) 843-3136
- NPI assigned
- Feb 10, 2021
- Last updated
- Feb 11, 2021
- 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
- Shieeda Ward
- Title
- Clinical Director/Speech Therapist
- Phone
- (910) 262-8159
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
601 Quail Valley Dr
Georgetown, TX 78626-8051
Mailing address
3612 Parkmill Dr
Killeen, TX 76542-6473
Phone (910) 262-8159
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Georgetown, TX
- NPI 1992181648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613001600000",
"number": "1265024202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3612 PARKMILL DR",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765426473",
"telephone_number": "910-262-8159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 QUAIL VALLEY DR",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786268051",
"telephone_number": "512-843-3136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPONTANEOUS EXPRESSIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-10",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "SHIEEDA",
"authorized_official_title_or_position": "CLINICAL DIRECTOR/SPEECH THERAPIST",
"authorized_official_telephone_number": "910-262-8159"
},
"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 Georgetown, TX
- Sarah Nicole Spencer, DNAP, BSN, RN
- Shelley Andrea Spencer
- Jennifer Christine Spiller, FNP
- Paul Craig Spiller, M.D.
- Florence C Spitler, D.O.
- Cari Springfield, P.T.
- St Davids Healthcare Partnership LP LLP (Sun City Rehabilitation, a department of St. David's Medical Center)
- St Davids Healthcare Partnership LP LLP (Lake Aire Rehabilitation, a department of St. David's Medical Center)
- Samantha St. Clair, LPC
- St. David's Healthcare Partnership, L.P, LLP (St. David's Georgetown Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.