Bakersfield Speech Therapy Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BAKERSFIELD SPEECH THERAPY INC

Practice address

4550 Panama LN Ste 100
Bakersfield, CA 93313-3486

Phone

(818) 943-0704

Fax

(661) 742-1644

NPI assigned

Apr 28, 2021

Organization subpart

No

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

Authorized official

Name

Bidyarani Shamurailatpam, SLPNPI 1760923668

Title

Ceo

Phone

(661) 631-2229

Specialties & licenses 1

Addresses

Practitioners 1

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

• Bidyarani Shamurailatpam

  • Speech-Language Pathologist
  • Santa Ana, CA
  • NPI 1760923668
  NPD Authorized official

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1346823325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 GAMBEL OAK WAY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111690",
            "telephone_number": "661-631-2229",
            "fax_number": "661-742-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 PANAMA LN STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933133486",
            "telephone_number": "818-943-0704",
            "fax_number": "661-742-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKERSFIELD SPEECH THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "SHAMURAILATPAM",
        "authorized_official_first_name": "BIDYARANI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-631-2229",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.