NPIMap

Organization Active NPI

Riverside Speech & Language LLC

  • Speech-Language Pathologist
  • Bradenton, FL
National Provider Identifier
1659516508
Registry record updated Dec 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA7630 Issued in FL
Legal business name
RIVERSIDE SPEECH & LANGUAGE LLC
Practice address
808 Hillcrest Dr
Bradenton, FL 34209-1846
Phone
(941) 807-2863
NPI assigned
Dec 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2008

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

Authorized official

Name
Amy Royall, MS CCC-SLPNPI 1003970013
Title
Speech & Language Pathologist
Phone
(941) 807-2863

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 SA7630 FL Primary

Addresses

Primary practice location

808 Hillcrest Dr
Bradenton, FL 34209-1846

Mailing address

808 Hillcrest Dr
Bradenton, FL 34209-1846
Phone (941) 807-2863

Other identifiers 1

IdentifierTypeStateIssuer
888666100MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Riverside Speech Language2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1228521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228521600000",
    "number": "1659516508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 HILLCREST DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342091846",
            "telephone_number": "941-807-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 HILLCREST DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342091846",
            "telephone_number": "941-807-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE SPEECH & LANGUAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-06",
        "last_updated": "2008-12-06",
        "status": "A",
        "authorized_official_last_name": "ROYALL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "SPEECH & LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "941-807-2863",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888666100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2008; 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.