Organization Active NPI

Speak Life Speech Pathology, PLLC

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1508504762
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEAK LIFE SPEECH PATHOLOGY, PLLC
Practice address
4625 North Fwy Ste 107
Houston, TX 77022-2929
Phone
(832) 257-2905
NPI assigned
May 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Cara J Russell, SLP
Title
Owner
Phone
(832) 257-2905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4625 North Fwy Ste 107
Houston, TX 77022-2929

Mailing address

4625 North Fwy Ste 107
Houston, TX 77022-2929
Phone (832) 257-2905

National Provider Directory

National Provider Directory

Locations

4625 North Fwy
Ste 107
Houston, TX 77022
Phone (832) 257-2905

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1508504762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 NORTH FWY STE 107",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770222929",
            "telephone_number": "832-257-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 NORTH FWY STE 107",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770222929",
            "telephone_number": "832-257-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAK LIFE SPEECH PATHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "CARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-257-2905",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

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