Eat Speak Grow LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

EAT SPEAK GROW LLC

Practice address

1220 Mount Rushmore Rd Ste 1
Rapid City, SD 57701-8264

Phone

(605) 390-7638

NPI assigned

Sep 10, 2019

Last updated

Sep 10, 2019By 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

Holly E Nordstrom, MS, CCC-SLP

Title

Owner

Phone

(605) 390-7638

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1386293512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MOUNT RUSHMORE RD STE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018264",
            "telephone_number": "605-390-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MOUNT RUSHMORE RD STE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018264",
            "telephone_number": "605-390-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAT SPEAK GROW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "NORDSTROM",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-390-7638",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912308164",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita Dzintars
• Lori Ann Earles
• Karen Sue Easterwood, LPN
• Teresa Eastman, PHARMACIST
• Eric Stener Eastmo, MD
• Monica Ellen Eaton-Harris, NCC, LPC
• David Bruce Eaton, MD
• Eb Whillock DDS, LTD.
• Eccarius Eye Clinic, PC (Eccarius Eye Clinic Optical Shop)
• Eccarius Eye Clinic, PC

• Early Intervention Provider Agency in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Early Intervention Provider Agency in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.