South Metro Speech Services, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

5928 Issued in MN

Legal business name

SOUTH METRO SPEECH SERVICES, LLC

Practice address

327 Marschall Rd Ste 390
Shakopee, MN 55379-1700

Phone

(612) 807-3723

NPI assigned

Mar 19, 2007

Last updated

Aug 22, 2020By 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

Mrs. Trisha Roxanne Witmer, M.A., CCC-SLPNPI 1144383894

Title

Speech & Language Pathologist

Phone

(612) 807-3723

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Trisha R. Witmer, M.A. LMFT

  • Mental Health Counselor
  • St Louis Park, MN
  • NPI 1144383894
  NPD (past) Authorized official
• Kelli Maupin, CCC-SLP

  • Speech-Language Pathologist
  • Shakopee, MN
  • NPI 1942471180
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649394933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 OXFORD PL",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553797063",
            "telephone_number": "612-807-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 MARSCHALL RD STE 390",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791700",
            "telephone_number": "612-807-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH METRO SPEECH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WITMER",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_middle_name": "ROXANNE",
        "authorized_official_title_or_position": "SPEECH & LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "612-807-3723",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "MN",
            "license": "5928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "513L2SO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Morgan Solie
• Payton Somerville
• South Shakopee Chiropractic
• Southwest Metro Intermediate District
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• Tom Patrick Spicer, D.C.
• St Francis Ambulatory Services LLC (St Francis Surgery and Endoscopy Center CRNA)

• Hearing and Speech Clinic/Center in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Hearing and Speech Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.