NPIMap

Organization Active NPI

The Speech Mom LLC

  • Speech-Language Pathologist
  • Sioux Falls, SD
National Provider Identifier
1487186060
Registry record updated Apr 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
496-SLP Issued in SD
Legal business name
THE SPEECH MOM LLC
Practice address
2109 S Faris Ave
Sioux Falls, SD 57105-2442
Phone
(712) 470-2520
NPI assigned
Apr 1, 2017
Last updated
Apr 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2017

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

Authorized official

Name
Andrea B Boerigter, MA SLP CCCNPI 1225275472
Title
Ceo/Lead Therapist
Phone
(712) 470-2520

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 496-SLP SD Primary

Addresses

Primary practice location

2109 S Faris Ave
Sioux Falls, SD 57105-2442

Mailing address

2109 S Faris Ave
Sioux Falls, SD 57105-2442
Phone (712) 470-2520

National Provider Directory

National Provider Directory

Locations

2701 S Minnesota Ave
Ste 10
Sioux Falls, SD 57105
Phone (605) 271-3464

Practitioners & affiliated clinicians

Practitioners 6

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": "1491004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491004800000",
    "number": "1487186060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 S FARIS AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052442",
            "telephone_number": "712-470-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 S FARIS AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052442",
            "telephone_number": "712-470-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPEECH MOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-01",
        "last_updated": "2017-04-01",
        "status": "A",
        "authorized_official_last_name": "BOERIGTER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO/LEAD THERAPIST",
        "authorized_official_telephone_number": "712-470-2520",
        "authorized_official_credential": "MA SLP CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "496-SLP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2017; 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.