Organization Active NPI

Silver Creek Speech & Language

  • Speech-Language Pathologist
  • Park City, UT
National Provider Identifier
1386417277
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SILVER CREEK SPEECH & LANGUAGE
Practice address
730 Parkway Dr
Park City, UT 84098-5715
Phone
(435) 565-1509
NPI assigned
Nov 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Serena MuellerNPI 1164100806
Title
Owner
Phone
(435) 565-1509

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

730 Parkway Dr
Park City, UT 84098-5715

Mailing address

730 Parkway Dr
Park City, UT 84098-5715
Phone (435) 565-1509

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.

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1386417277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 PARKWAY DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985715",
            "telephone_number": "435-565-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 PARKWAY DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985715",
            "telephone_number": "435-565-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CREEK SPEECH & LANGUAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "SERENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-565-1509"
    },
    "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 Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.