Garden Island Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

GARDEN ISLAND SPEECH THERAPY LLC

Practice address

3957 Pai St
Kalaheo, HI 96741-9593

Phone

(510) 461-6603

NPI assigned

May 26, 2022

Last updated

May 26, 2022By 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

Julianne Spicer, MS, CCC-SLPNPI 1205330073

Title

Owner/Speech-Language Pathologist

Phone

(510) 461-6603

Specialties & licenses 1

Addresses

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.

• Julianne G Spicer, MS CCC-SLP

  • Speech-Language Pathologist
  • Kalaheo, HI
  • NPI 1205330073
  NPD Authorized official

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1437897519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3957 PAI ST",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967419593",
            "telephone_number": "510-461-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3957 PAI ST",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967419593",
            "telephone_number": "510-461-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN ISLAND SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "SPICER",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "510-461-6603",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lynn Ferguson-Ranis, LMT
• Elizabeth Nacino Flora
• Matthew John Fons
• George Fritz, EDD
• Margaret Ann Fuller
• Emelia Loren Haraguchi, PT, DPT
• Thomas A Hazelton
• Mary S Holzman, PTA
• Carrie Hovland, BSN,RN,OCN
• Barbara Hellen Inglis, LMT

• Speech-Language Pathologist in Kalaheo, HI
• Providers in Kalaheo, HI by specialty
• Speech-Language Pathologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.