Spark Speech, Language and Learning Services LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

SPARK SPEECH, LANGUAGE AND LEARNING SERVICES LLC

Practice address

3555 Keith St NW Ste 213
Cleveland, TN 37312-4375

Phone

(423) 716-2458

NPI assigned

Oct 12, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Britany C Kelly, MA CCC-SLPNPI 1356434252

Title

Speech Language Pathologist

Phone

(423) 903-5133

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.

• Britany Cobb Kelly, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Knoxville, TN
  • NPI 1356434252
  NPD Authorized official

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1336920479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 SOURWOOD TRL NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122032",
            "telephone_number": "423-903-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 KEITH ST NW STE 213",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124375",
            "telephone_number": "423-716-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK SPEECH, LANGUAGE AND LEARNING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "BRITANY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "423-903-5133",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing and Speech Clinic/Center in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Hearing and Speech Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.