NPIMap

Organization Active NPI

Speech 4 Kidz

  • Speech-Language Pathologist
  • Fayetteville, NC
National Provider Identifier
1437423258
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3878 Issued in NC
Legal business name
SPEECH 4 KIDZ
Practice address
2543 Ravenhill Dr Ste E
Fayetteville, NC 28303-5459
Phone
(910) 353-2440
NPI assigned
Feb 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Authorized official

Name
Amy Howard
Title
Owner
Phone
(910) 470-7937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 3878 NC Primary

Addresses

Primary practice location

2543 Ravenhill Dr Ste E
Fayetteville, NC 28303-5459

Mailing address

2905 Breezewood Ave
Ste 102
Fayetteville, NC 28303-5503
Phone (910) 470-7937

Other identifiers 1

IdentifierTypeStateIssuer
7200467MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Speech 4 Kidz Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2905 Breezewood Ave
Ste 102
Fayetteville, NC 28303

NPI Registry JSON

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1437423258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 BREEZEWOOD AVE",
            "address_2": "STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035503",
            "telephone_number": "910-470-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2543 RAVENHILL DR STE E",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035459",
            "telephone_number": "910-353-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH 4 KIDZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-470-7937"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200467",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

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