Speechcare Pediatrics, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

SLP0084772 Issued in GA

Legal business name

SPEECHCARE PEDIATRICS, LLC

Doing business as

Speechcare Inspirations

Practice address

893 Piedmont Ave NE
Suite 11
Atlanta, GA 30309-4174

Phone

(404) 680-3919

NPI assigned

Jun 25, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Helen Rodriguez, M.S.,CCC-SLP

Title

President/Ceo

Phone

(404) 680-3919

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Speechcare Inspirations Doing business as

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1508248618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 PIEDMONT AVE NE",
            "address_2": "SUITE 11",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094174",
            "telephone_number": "404-680-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 PIEDMONT AVE NE",
            "address_2": "SUITE 11",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094174",
            "telephone_number": "404-680-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECHCARE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "404-680-3919",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "GA",
            "license": "SLP0084772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003149495A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speechcare Inspirations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tracey Speed, RRT-RCP
• Brent Joseph Speer, M.D.
• Renae Speer, CPNP
• Stephanie L Speights-Sellers, APRN

• Early Intervention Provider Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Early Intervention Provider Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.