New Life Speech Therapy

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

SA16056 Issued in FL

Legal business name

NEW LIFE SPEECH THERAPY

Practice address

1450 Glen Haven Dr
Merritt Island, FL 32952-5821

Phone

(321) 917-0297

NPI assigned

Mar 28, 2018

Last updated

Mar 28, 2018By 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. Laurie Burnett, M.S. CCC-SLPNPI 1003821489

Title

Speech Language Pathologist

Phone

(321) 917-0297

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

New Life Speech Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New Life Speech Therapy

  • Speech-Language Pathologist
  • Merritt Island, FL
  • NPI 1598222358
  NPD tax ID

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.

• Laurie Marie Burnett, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Merritt Island, FL
  • NPI 1003821489
  Authorized official Same address or phone

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1366947574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 GLEN HAVEN DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329525821",
            "telephone_number": "321-917-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 GLEN HAVEN DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329525821",
            "telephone_number": "321-917-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "321-917-0297",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "SA16056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003821489",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SA16056",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dena Marie Nelson, CASE MANAGER
• Margetta Nelson, LPN
• Neuro Imaging Institute II Inc (Diagnostic Health, Merritt Island)
• Neurologic Associates of Central Brevard Inc
• Neuroskeletal Imaging LLC (Nsi Merritt Island)
• New Life Speech Therapy
• Lynn Nguyen
• Thaiduc Nguyen, DO
• NHC Place Merritt Island LLC
• NHC-Op LP

• Early Intervention Provider Agency in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Early Intervention Provider Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.