Organization Active NPI

Speech and Swallowing Rehabilitation, PC

  • Speech-Language Pathologist
  • Huntsville, AL
National Provider Identifier
1366706566
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2235 Issued in AL
Legal business name
SPEECH AND SWALLOWING REHABILITATION, PC
Practice address
7027 Old Madison Pike NW
Suite 108
Huntsville, AL 35806-2368
Phone
(256) 684-2124
Fax
(256) 464-9243
NPI assigned
Jul 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Authorized official

Name
Ms. Shermetra Rena Delaine, CCC, SLP
Title
Speech Language Pathologist
Phone
(256) 684-2124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2235 AL Primary

Addresses

Primary practice location

7027 Old Madison Pike NW
Suite 108
Huntsville, AL 35806-2368

Mailing address

302 Harbor Glen Dr SW
Madison, AL 35756-2812
Phone (256) 684-2114

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1366706566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 HARBOR GLEN DR SW",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357562812",
            "telephone_number": "256-684-2114",
            "fax_number": "256-464-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7027 OLD MADISON PIKE NW",
            "address_2": "SUITE 108",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358062368",
            "telephone_number": "256-684-2124",
            "fax_number": "256-464-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH AND SWALLOWING REHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "DELAINE",
        "authorized_official_first_name": "SHERMETRA",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "256-684-2124",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCC, SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

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