NPIMap

Organization Active NPI

Raven Speech Therapy

  • Hearing and Speech Clinic/Center
  • Palmer, AK
National Provider Identifier
1619409588
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
SLP243 Issued in AK
Legal business name
RAVEN SPEECH THERAPY
Practice address
247 S Alaska St
Palmer, AK 99645-6335
Phone
(907) 707-9509
NPI assigned
Mar 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Kathryn Paulson, CCC-SLP
Title
Owner/Speech-Language Pathologist
Phone
(907) 707-9509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X SLP243 AK Primary

Addresses

Primary practice location

247 S Alaska St
Palmer, AK 99645-6335

Mailing address

247 S Alaska St
Palmer, AK 99645-6335
Phone (907) 707-9509

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1619409588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 S ALASKA ST",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456335",
            "telephone_number": "907-707-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 S ALASKA ST",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456335",
            "telephone_number": "907-707-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVEN SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "907-707-9509",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "AK",
            "license": "SLP243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.