Organization Active NPI

Speech Blossoms LLC

  • Speech-Language Pathologist
  • Stockbridge, GA
National Provider Identifier
1629738745
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH BLOSSOMS LLC
Practice address
3384 Mount Zion Rd Apt 6105
Stockbridge, GA 30281-7878
Phone
(803) 747-5305
NPI assigned
Dec 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Ms. Alvree Shanon Boyd, MA, SLP-CCCNPI 1811553639
Title
Owner
Phone
(803) 747-5305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3384 Mount Zion Rd Apt 6105
Stockbridge, GA 30281-7878

Mailing address

3384 Mount Zion Rd Apt 6105
Stockbridge, GA 30281-7878
Phone (803) 747-5305

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.

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1629738745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3384 MOUNT ZION RD APT 6105",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817878",
            "telephone_number": "803-747-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3384 MOUNT ZION RD APT 6105",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817878",
            "telephone_number": "803-747-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH BLOSSOMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "ALVREE",
        "authorized_official_middle_name": "SHANON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-747-5305",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, SLP-CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.