Speak Up Virtual Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPEAK UP VIRTUAL SPEECH THERAPY LLC

Practice address

1676 SW 16TH St
Gainesville, FL 32608-1162

Phone

(954) 661-6535

NPI assigned

Apr 19, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Emily Herndon, MA, CCC-SLPNPI 1407403785

Title

Speech Pathologist, Owner

Phone

(352) 562-3618

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Emily Herndon, CCC-SLP

  • Speech-Language Pathologist
  • Waynesville, NC
  • NPI 1407403785
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623456000000",
    "number": "1407437569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 SW 34TH ST UNIT 141844",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326147775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 SW 16TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081162",
            "telephone_number": "954-661-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAK UP VIRTUAL SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-06-12",
        "certification_date": "2021-06-12",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST, OWNER",
        "authorized_official_telephone_number": "352-562-3618",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily@speakupvirtualspeechtherapy.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA-compliant business email",
            "address_1": "1676 SW 16th St",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326081162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katie Spargo
• Joseph D Sparks, AUD
• Lindsay Alena Sparks, L.M.T
• Marissa Sparks
• Mary Sue Sparks, R.PSGT/ CRT
• Harry Spears, LMHC
• Special Communications, LLC
• Special Communications, LLC
• Special Communications, LLC
• Special Communications, LLC

• Speech-Language Pathologist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.