Small Talk Pediatric SLP, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA11376 Issued in FL

Legal business name

SMALL TALK PEDIATRIC SLP, LLC

Practice address

522 Winthrop St
Fort Walton Beach, FL 32547-2679

Phone

(850) 866-2286

Fax

(850) 244-2105

NPI assigned

Oct 28, 2014

Last updated

Oct 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Flowers, CCC-SLPNPI 1154631232

Title

Speech Language Pathologist/Owner

Phone

(850) 866-2286

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Flowers, CCC-SLP

  • Speech-Language Pathologist
  • Fort Walton Beach, FL
  • NPI 1154631232
  NPD (past) Authorized official

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1336544618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 WINTHROP ST",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472679",
            "telephone_number": "850-866-2286",
            "fax_number": "850-244-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 WINTHROP ST",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472679",
            "telephone_number": "850-866-2286",
            "fax_number": "850-244-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL TALK PEDIATRIC SLP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "850-866-2286",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009909500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Marie Skojac, MD
• Katherine Nicole Skraba, PA
• Taylor Slater, RBT
• Victoria Dale Slayton
• Sleepmed Therapies Inc.
• Bryan James Smith, MD
• David Wade Smith, LMFT
• Laura Smith, ARNP
• Levi Conway Smith
• Lisbeth Lyerly Smith, OT

• Speech-Language Pathologist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.