Organization Active NPI

Optimum Speech Language Services, PLLC

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1538873419
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
OPTIMUM SPEECH LANGUAGE SERVICES, PLLC
Practice address
9219 Stone Abbey PL
Charlotte, NC 28215-7332
Phone
(646) 245-3836
NPI assigned
Jan 6, 2023
Last updated
Jan 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Valarie Gerrald, MS CCC SLPNPI 1679892509
Title
Manager
Phone
(980) 999-2757

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 Primary

Addresses

Primary practice location

9219 Stone Abbey PL
Charlotte, NC 28215-7332

Mailing address

9219 Stone Abbey PL
Charlotte, NC 28215-7332
Phone (646) 245-3836

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL optimumspeech1@gmail.com Health Information Exchange (HIE)

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, 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": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1538873419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9219 STONE ABBEY PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157332",
            "telephone_number": "646-245-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9219 STONE ABBEY PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157332",
            "telephone_number": "646-245-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM SPEECH LANGUAGE SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "GERRALD",
        "authorized_official_first_name": "VALARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "980-999-2757",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "optimumspeech1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "office email",
            "address_1": "9219 Stone Abbey Pl",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282157332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.