Happy Acorn Learning LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12566 Issued in OR

Legal business name

HAPPY ACORN LEARNING LLC

Practice address

2223 NE 47TH Ave
Portland, OR 97213-1911

Phone

(503) 577-0975

NPI assigned

Dec 13, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Amanda Williams CorneliusNPI 1336270164

Title

Member/Owner

Phone

(503) 577-0975

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Amanda Williams Cornelius, SLP

  • Speech-Language Pathologist
  • Portland, OR
  • NPI 1336270164
  NPD (past) Authorized official

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1326582115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 SE 48TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153220",
            "telephone_number": "503-577-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 NE 47TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131911",
            "telephone_number": "503-577-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY ACORN LEARNING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "CORNELIUS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "503-577-0975",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "12566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Portland, OR
• Providers in Portland, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.