Speech Bridge, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6678 Issued in NC

Legal business name

SPEECH BRIDGE, PLLC

Doing business as

Speech Bridge

Practice address

153 Deep Run Dr
New Bern, NC 28560-5206

Phone

(252) 638-3147

Fax

(252) 636-3170

NPI assigned

Apr 16, 2012

Last updated

Apr 16, 2012By 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. Ashley Dees Johnson, CCC-SLPNPI 1104804020

Title

Owner

Phone

(252) 638-3147

Specialties & licenses 1

Addresses

Other names 1

• Speech Bridge Doing business as

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.

• Ashley D Johnson, CCC-SLP

  • Speech-Language Pathologist
  • New Bern, NC
  • NPI 1104804020
  NPD (past) Authorized official

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1396002341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 DEEP RUN DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285605206",
            "telephone_number": "252-638-3147",
            "fax_number": "252-636-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 DEEP RUN DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285605206",
            "telephone_number": "252-638-3147",
            "fax_number": "252-636-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH BRIDGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "DEES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-638-3147",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speech Bridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cortney Claressia Sowers, MSW, LCSWA
• Catherine Et Spain, LCSW
• Rebecca Sparacio, BCBA
• Shannon Shumate Sparks, PA-C
• Tracie Ann Sparks, MPT
• Kenisha Denisha Speller
• Ayesha Spencer
• Spot on Therapy Center PLLC
• Amanda Sprouse
• Porsche Spruell

• Speech-Language Pathologist in New Bern, NC
• Providers in New Bern, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.