Trinity Speech Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

TRINITY SPEECH SERVICES LLC

Practice address

12505 N 1500TH Rd
Macomb, IL 61455-8425

Phone

(325) 212-3239

NPI assigned

Jun 14, 2022

Last updated

Jan 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miranda M Riddle, MS CCC-SLPNPI 1407524168

Title

Owner/Manager

Phone

(325) 212-3239

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, FL2 enrollments

Enrollment records 2

Locations

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.

• Miranda Mae Riddle, MS., CCC-SLP

  • Speech-Language Pathologist
  • Macomb, IL
  • NPI 1407524168

  FL

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1538899430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 N 1500TH RD",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614558425",
            "telephone_number": "325-212-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 N 1500TH RD",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614558425",
            "telephone_number": "325-212-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY SPEECH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "325-212-3239",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary C Thompson, CNM
• Jessica L Thorman, FNP-C
• Bria Thurman
• Tim a Bengtson O.D., P.C.
• Kevin Traser, PHARM.D.
• Scott Eric Urch, M.D.
• Connie Jo Ussery
• Terry Vail, O.D.
• Sherri Lynn Vancil, PT
• Vision Consultants LTD

• Speech-Language Pathologist in Macomb, IL
• Providers in Macomb, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.