Organization Active NPI

Small Talk Inc.

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1508941618
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5585 Issued in NC
Legal business name
SMALL TALK INC.
Practice address
3608 Bridgeton Park Dr
Raleigh, NC 27612-4153
Phone
(919) 787-6494
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Tiffany Penley, M.ED., CCC-SLPNPI 1588749071
Title
President
Phone
(919) 787-6494

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 PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 5585 NC Primary

Addresses

Primary practice location

3608 Bridgeton Park Dr
Raleigh, NC 27612-4153

Mailing address

3608 Bridgeton Park Dr
Raleigh, NC 27612-4153

Other identifiers 1

IdentifierTypeStateIssuer
7211790MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1508941618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 BRIDGETON PARK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 BRIDGETON PARK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124153",
            "telephone_number": "919-787-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL TALK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "PENLEY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-787-6494",
        "authorized_official_credential": "M.ED., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211790",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.