Active NPI
Audrey Holly Carr, SLP-ASSISTANT
- Speech-Language Assistant
- Rockledge, FL
National Provider Identifier
1326691031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- Practice address
- 1237 Florida Ave S
Rockledge, FL 32955-2423 - Phone
- (321) 338-2419
- Fax
- (321) 301-4278
- NPI assigned
- Jul 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | FL | Primary |
Addresses
Primary practice location
1237 Florida Ave S
Rockledge, FL 32955-2423
Mailing address
1237 Florida Ave S
Rockledge, FL 32955-2423
Phone (321) 338-2419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Avenues Therapy Co | Speech-Language Assistant | Current | Accepting new patients |
Locations
1237 Florida Ave S
Rockledge, FL 32955
Phone (321) 338-2419
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1326691031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1237 FLORIDA AVE S",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552423",
"telephone_number": "321-338-2419",
"fax_number": "321-301-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1237 FLORIDA AVE S",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552423",
"telephone_number": "321-338-2419",
"fax_number": "321-301-4278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "AUDREY",
"middle_name": "HOLLY",
"name_prefix": "Mrs.",
"credential": "SLP-ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-22",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.