Organization Active NPI

Neuro Speech Solutions, PLLC

  • Speech-Language Pathologist
  • Edmond, OK
National Provider Identifier
1649998774
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
NEURO SPEECH SOLUTIONS, PLLC
Practice address
1701 Signal Ridge Dr Ste 140
Edmond, OK 73013-3788
Phone
(405) 674-6304
Fax
(405) 281-0881
NPI assigned
Aug 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Tracey Pearl, CCC-SLPNPI 1215554738
Title
Speech Pathologist
Phone
(405) 844-2059

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

1701 Signal Ridge Dr Ste 140
Edmond, OK 73013-3788

Mailing address

1701 Signal Ridge Dr Ste 140
Edmond, OK 73013-3788
Phone (405) 674-4304

Other names 1

  • Neuro Speech Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221004001303 OK Part B Supplier - Clinic/Group Practice 3971989666 Receives reassigned benefits from 4 practitioners
Practice locations: Edmond, OK

National Provider Directory

National Provider Directory

Locations

1701 Signal Ridge Dr
Ste 140
Edmond, OK 73013
Phone (405) 674-6304

Practitioners & affiliated clinicians

Practitioners 5

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": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1649998774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SIGNAL RIDGE DR STE 140",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133788",
            "telephone_number": "405-674-4304",
            "fax_number": "405-281-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SIGNAL RIDGE DR STE 140",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133788",
            "telephone_number": "405-674-6304",
            "fax_number": "405-281-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO SPEECH SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "PEARL",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "405-844-2059",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuro Speech Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.