Organization Active NPI

Coast Speech-Language Therapy, LLC

  • Speech-Language Pathologist
  • Gulfport, MS
National Provider Identifier
1376196873
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
COAST SPEECH-LANGUAGE THERAPY, LLC
Practice address
15465 Oak LN Ste 100C
Gulfport, MS 39503-2663
Phone
(228) 344-0078
NPI assigned
Jul 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Authorized official

Name
Ellen Saizan
Title
Owner/SLP
Phone
(228) 344-0078

Specialties & licenses 1

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

Addresses

Primary practice location

15465 Oak LN Ste 100C
Gulfport, MS 39503-2663

Mailing address

15465 Oak LN Ste 100C
Gulfport, MS 39503-2663
Phone (228) 344-0078

National Provider Directory

National Provider Directory

Locations

15465 Oak Ln
Ste 100C
Gulfport, MS 39503
Phone (228) 346-0677

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1376196873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15465 OAK LN STE 100C",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032663",
            "telephone_number": "228-344-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15465 OAK LN STE 100C",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032663",
            "telephone_number": "228-344-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST SPEECH-LANGUAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "SAIZAN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "228-344-0078"
    },
    "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 Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.