Organization Active NPI

Capable Kids, LLC

  • Speech-Language Pathologist
  • Anchorage, AK
National Provider Identifier
1336406586
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
61 Issued in AK
Legal business name
CAPABLE KIDS, LLC
Practice address
600 W 41St Ave Ste 103
Anchorage, AK 99503-6601
Phone
(907) 334-9002
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Michelle Burch, CCC-SLPNPI 1720122930
Title
Ceo
Phone
(907) 334-9002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 61 AK Primary

Addresses

Primary practice location

600 W 41St Ave Ste 103
Anchorage, AK 99503-6601

Mailing address

PO Box 110448
Anchorage, AK 99511-0448
Phone (907) 334-9002

Other identifiers 2

IdentifierTypeStateIssuer
SP47561MedicaidAK
SP0171MedicaidAK

National Provider Directory

National Provider Directory

Locations

600 W 41st Ave
Ste 103
Anchorage, AK 99503
Phone (907) 306-1728

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1336406586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110448",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995110448",
            "telephone_number": "907-334-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 41ST AVE STE 103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036601",
            "telephone_number": "907-334-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPABLE KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-334-9002",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "61",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SP47561",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SP0171",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.