Active NPI
Speech and Swallowing Therapy, PLLC
- Speech-Language Pathologist
- Lumberton, TX
National Provider Identifier
1336857440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SPEECH AND SWALLOWING THERAPY, PLLC
- Practice address
- 5445 Lexington Cir
Lumberton, TX 77657-5964 - Phone
- (409) 673-8291
- NPI assigned
- Nov 8, 2022
- Last updated
- Nov 8, 2022
- 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
- Misty Nall
- Title
- Ms CCC-SLP
- Phone
- (409) 673-8291
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
5445 Lexington Cir
Lumberton, TX 77657-5964
Mailing address
5445 Lexington Cir
Lumberton, TX 77657-5964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Speech-Language Pathologist
- Lumberton, TX
- NPI 1710279575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667865600000",
"number": "1336857440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5445 LEXINGTON CIR",
"city": "LUMBERTON",
"state": "TX",
"postal_code": "776575964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 LEXINGTON CIR",
"city": "LUMBERTON",
"state": "TX",
"postal_code": "776575964",
"telephone_number": "409-673-8291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH AND SWALLOWING THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-08",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A",
"authorized_official_last_name": "NALL",
"authorized_official_first_name": "MISTY",
"authorized_official_title_or_position": "MS CCC-SLP",
"authorized_official_telephone_number": "409-673-8291"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.