NPIMap

Organization Active NPI

King Speech-Language Therapy, LLC

  • Speech-Language Pathologist
  • Corinth, MS
National Provider Identifier
1467964536
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S3565 Issued in MS
Legal business name
KING SPEECH-LANGUAGE THERAPY, LLC
Practice address
2203 Hwy 72 East
Corinth, MS 38834
Phone
(662) 415-8613
NPI assigned
Oct 30, 2017
Last updated
Oct 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Authorized official

Name
Ruth Ann KingNPI 1265784789
Title
Owner/Speech-Language Pathologist
Phone
(662) 415-8613

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S3565 MS Primary

Addresses

Primary practice location

2203 Hwy 72 East
Corinth, MS 38834

Mailing address

2203 Hwy 72 East
Corinth, MS 38834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180419002114 MS Part B Supplier - Clinic/Group Practice 6901169291 Receives reassigned benefits from 7 practitioners
Practice locations: Corinth, MS

National Provider Directory

National Provider Directory

Locations

2203 Highway 72 E
Corinth, MS 38834
Phone (662) 415-8613

Practitioners & affiliated clinicians

Practitioners 10

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": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1467964536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 HWY 72 EAST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "38834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 HWY 72 EAST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "38834",
            "telephone_number": "662-415-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING SPEECH-LANGUAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "662-415-8613"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.