The Spruill Studio for Speech and Voice, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

7706 Issued in NC

Legal business name

THE SPRUILL STUDIO FOR SPEECH AND VOICE, INC.

Practice address

1228 Bridgeford Dr NW
Huntersville, NC 28078-4328

Phone

(704) 464-0464

Fax

(866) 636-4063

NPI assigned

Mar 11, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Nicole Spruill, M.ED CCC-SLP

Title

Owner/Speech-Language Pathologist

Phone

(704) 464-0464

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spruill's Speech and Language Services Doing business as

Locations

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1629319900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 BRIDGEFORD DR NW",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784328",
            "telephone_number": "704-464-0464",
            "fax_number": "866-636-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 BRIDGEFORD DR NW",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784328",
            "telephone_number": "704-464-0464",
            "fax_number": "866-636-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPRUILL STUDIO FOR SPEECH AND VOICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "SPRUILL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "704-464-0464",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NC",
            "license": "7706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200523",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spruill's Speech and Language Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.