NPIMap

Organization Active NPI

Avid Speech Therapy

  • Speech-Language Pathologist
  • Fountain Valley, CA
National Provider Identifier
1457894271
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
AVID SPEECH THERAPY
Practice address
10061 Talbert Ave Ste 103
Fountain Valley, CA 92708-5159
Phone
(714) 272-3090
Fax
(714) 849-5393
NPI assigned
Nov 28, 2016
Last updated
Apr 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Mrs. Narissa Ventress, M.A., CCC-SLPNPI 1265870471
Title
Speech Pathologist, Owner
Phone
(714) 642-5420

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

10061 Talbert Ave Ste 103
Fountain Valley, CA 92708-5159

Mailing address

10061 Talbert Ave Ste 103
Fountain Valley, CA 92708-5159
Phone (714) 272-3090

National Provider Directory

National Provider Directory

Locations

10061 Talbert Ave
Ste 103
Fountain Valley, CA 92708
Phone (714) 272-3090

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1457894271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10061 TALBERT AVE STE 103",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085159",
            "telephone_number": "714-272-3090",
            "fax_number": "714-849-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10061 TALBERT AVE STE 103",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085159",
            "telephone_number": "714-272-3090",
            "fax_number": "714-849-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVID SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "VENTRESS",
        "authorized_official_first_name": "NARISSA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST, OWNER",
        "authorized_official_telephone_number": "714-642-5420",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

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