Simply Speech Fort Walton Beach LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA14802 Issued in FL

Legal business name

SIMPLY SPEECH FORT WALTON BEACH LLC

Practice address

118 Truxton Ave
Fort Walton Beach, FL 32547-2461

Phone

(850) 803-9285

Fax

(850) 664-7691

NPI assigned

Jul 4, 2017

Last updated

Jul 4, 2017By 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

Heather Pearl Bauman, M.S. CCC-SLPNPI 1770952061

Title

Owner/Sole Member

Phone

(850) 803-9285

Specialties & licenses 1

Addresses

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.

• Heather Pearl Bauman, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Fort Walton Beach, FL
  • NPI 1770952061
  Authorized official Same address or phone

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

{
    "created_epoch": "1499126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499126400000",
    "number": "1639690217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 POCAHONTAS DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473283",
            "telephone_number": "850-803-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 TRUXTON AVE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472461",
            "telephone_number": "850-803-9285",
            "fax_number": "850-664-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY SPEECH FORT WALTON BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-04",
        "last_updated": "2017-07-04",
        "status": "A",
        "authorized_official_last_name": "BAUMAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "PEARL",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "850-803-9285",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colton Sikes, PHARMD
• Karaline Silver
• Shoshana Simas, MA#75174
• Krista Simmons, LCSW
• Dana Simon, MS, SLP
• Kade Simpson
• Danielle Michelle Sims
• Poorita Mitra Singh, FNP-C
• Katrina Alfreda Intrepido Single, APRN
• John David Sites, M.D.

• Speech-Language Pathologist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.