Active NPI
Rise With Pride Speech-Language Pathology and Related Services, LLC
- Hearing and Speech Clinic/Center
- Hollywood, FL
National Provider Identifier
1316715550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.