Angel Heart Speech & Language Services, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3515 Issued in NC

Legal business name

ANGEL HEART SPEECH & LANGUAGE SERVICES, INC

Practice address

6711 Bugle Run
Oak Ridge, NC 27310-9753

Phone

(336) 312-2705

Fax

(336) 644-1148

NPI assigned

Aug 20, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Marylou Rice, MA, CCC-SLPNPI 1659546828

Title

President

Phone

(336) 312-2705

Specialties & licenses 1

Addresses

Other identifiers 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marylou Rice, MA, CCC-SLP

  • Speech-Language Pathologist
  • Oak Ridge, NC
  • NPI 1659546828
  NPD (past) Authorized official
• Frank J Brown, MS, CCC-SLP

  • Speech-Language Pathologist
  • Oak Ridge, NC
  • NPI 1598224966
  NPD (past)
• Jennifer K Mize, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Greensboro, NC
  • NPI 1649738469
  NPD (past)
• Kirstin Thomas Wright, MS, CCC-SLP

  • Speech/Language/Hearing Specialist/Technologist
  • Franklinville, NC
  • NPI 1902365364
  NPD (past)

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1265689285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 BUGLE RUN",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273109753",
            "telephone_number": "336-312-2705",
            "fax_number": "336-644-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 BUGLE RUN",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273109753",
            "telephone_number": "336-312-2705",
            "fax_number": "336-644-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HEART SPEECH & LANGUAGE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "MARYLOU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-312-2705",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7411116",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Anderson Arthofer, M.ED., L.P.C., N.C.C
• Farah Awan
• Julie Beth Bain, PA
• Gaytri Patel Barker, PSY.D.
• Alisha Bisbee, LCMHCA

• All providers in Oak Ridge, NC
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.