Communication Moments LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

COMMUNICATION MOMENTS LLC

Practice address

11191 McPherson St NE
Lowell, MI 49331-9766

Phone

(616) 443-1699

NPI assigned

May 20, 2019

Last updated

May 20, 2019By 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

Ms. Kathryn L Ellsworth, M.A., CCC-SLP

Title

Speech-Language Pathologist

Phone

(616) 443-1699

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1669039277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11191 MCPHERSON ST NE",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319766",
            "telephone_number": "616-443-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11191 MCPHERSON ST NE",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319766",
            "telephone_number": "616-443-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNICATION MOMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "ELLSWORTH",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "616-443-1699",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.