Waco Speaks LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

105491 Issued in TX

Legal business name

WACO SPEAKS LLC

Practice address

925 Cheyenne TRL
Hewitt, TX 76643-3288

Phone

(706) 847-9287

NPI assigned

Mar 6, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Kelli H Irwin, SLP

Title

Speech Pathologist

Phone

(706) 847-9287

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1497171086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 CHEYENNE TRL",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CHEYENNE TRL",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433288",
            "telephone_number": "706-847-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACO SPEAKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "706-847-9287",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.