Therapy Nook PC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12159923 Issued in MS

Legal business name

THERAPY NOOK PC

Doing business as

Therapy Nook PC

Practice address

520 Schwem Avenue
Brookhaven, MS 39601

Phone

(601) 990-4085

NPI assigned

Nov 8, 2016

Last updated

Nov 8, 2016By 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

Millicent Smith Porter, SLPNPI 1821522137

Title

Owner

Phone

(601) 757-0766

Specialties & licenses 1

Addresses

Other names 1

• Therapy Nook PC Doing business as

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.

• Millicent Porter, SLP

  • Speech-Language Pathologist
  • Wesson, MS
  • NPI 1821522137
  NPD (past) Authorized official

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1619419694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3054 JACKSON LIBERTY RD",
            "city": "WESSON",
            "state": "MS",
            "postal_code": "39191",
            "telephone_number": "601-757-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SCHWEM AVENUE",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "39601",
            "telephone_number": "601-990-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY NOOK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "MILLICENT",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-757-0766",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "12159923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy Nook PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Amanda Stewart
• Michael A. Stewart, M.D.
• Savannah Stockton, MD
• Latise Strong
• The Magnolia Family Clinic, LLC
• Jacqueline Michelle Thomas
• Lakeshia Lashon Thomas, THERAPIST
• Lastangela Krischingo Thomas
• Tina Thomas, MA, LAT, ATC
• Thompson Health Care PLLC

• Speech-Language Pathologist in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.