Organization Active NPI

Speech Time LLC.

  • Speech-Language Pathologist
  • Buffalo, MN
National Provider Identifier
1558510404
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7720 Issued in MN
Legal business name
SPEECH TIME LLC.
Practice address
998 Barton Ave NW
Buffalo, MN 55313-4401
Phone
(763) 682-9011
Fax
(763) 682-9011
NPI assigned
Sep 16, 2008
Last updated
Sep 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Shannon Michael O'Malley
Title
Administrator
Phone
(763) 682-9011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7720 MN Primary

Addresses

Primary practice location

998 Barton Ave NW
Buffalo, MN 55313-4401

Mailing address

998 Barton Ave NW
Buffalo, MN 55313-4401
Phone (763) 682-9011

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": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1558510404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 BARTON AVE NW",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553134401",
            "telephone_number": "763-682-9011",
            "fax_number": "763-682-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 BARTON AVE NW",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553134401",
            "telephone_number": "763-682-9011",
            "fax_number": "763-682-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH TIME LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "O'MALLEY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-682-9011"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "7720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.