Organization Active NPI

Rise With Pride Speech-Language Pathology and Related Services, LLC

  • Hearing and Speech Clinic/Center
  • Hollywood, FL
National Provider Identifier
1316715550
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
RISE WITH PRIDE SPEECH-LANGUAGE PATHOLOGY AND RELATED SERVICES, LLC
Practice address
610 N 72ND Ave Apt 316
Hollywood, FL 33024-7114
Phone
(786) 370-2160
NPI assigned
Dec 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
David Lopez, CCC-SLP
Title
Speech-Language Pathologist
Phone
(786) 370-2160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

610 N 72ND Ave Apt 316
Hollywood, FL 33024-7114

Mailing address

610 N 72ND Ave Apt 316
Hollywood, FL 33024-7114
Phone (786) 370-2160

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1316715550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N 72ND AVE APT 316",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247114",
            "telephone_number": "786-370-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N 72ND AVE APT 316",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247114",
            "telephone_number": "786-370-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE WITH PRIDE SPEECH-LANGUAGE PATHOLOGY AND RELATED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "786-370-2160",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.