Organization Active NPI

Trask Speech Language Pathology

  • Speech-Language Pathologist
  • Rapid City, SD
National Provider Identifier
1538893060
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
TRASK SPEECH LANGUAGE PATHOLOGY
Practice address
4447 S Canyon Rd Ste 6
Rapid City, SD 57702-1889
Phone
(605) 443-6164
NPI assigned
Jul 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Tiffany Trask, MA, CCC-SLPNPI 1710331921
Title
Owner/Speech-Language Pathologist
Phone
(605) 209-8792

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

4447 S Canyon Rd Ste 6
Rapid City, SD 57702-1889

Mailing address

13455 Rockwood Rd
Rapid City, SD 57702-6502

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tiffany@dakotaspeechandswallowcenter.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230222000786 SD Part B Supplier - Clinic/Group Practice 9335512342 Receives reassigned benefits from 1 practitioner
Practice locations: Rapid City, SD

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": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1538893060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13455 ROCKWOOD RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577026502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4447 S CANYON RD STE 6",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577021889",
            "telephone_number": "605-443-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRASK SPEECH LANGUAGE PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "TRASK",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "605-209-8792",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffany@dakotaspeechandswallowcenter.com",
            "affiliation": "N",
            "address_1": "4447 S Canyon Rd Ste 6",
            "city": "Rapid City",
            "state": "SD",
            "country_code": "US",
            "postal_code": "577021889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.