Midnight Sun Speech Clinic, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLPS518 Issued in AK

Legal business name

MIDNIGHT SUN SPEECH CLINIC, LLC

Doing business as

Midnight Sun Speech Clinic

Practice address

10928 Eagle River Rd Ste 104
Eagle River, AK 99577-8079

Phone

(907) 622-2122

Fax

(855) 368-5399

NPI assigned

Jul 20, 2017

Last updated

Aug 14, 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

Amber Henry, M.ED, CCC-SLPNPI 1649698721

Title

Owner/SLP

Phone

(907) 622-2122

Specialties & licenses 1

Addresses

Other names 1

• Midnight Sun Speech Clinic Doing business as

Locations

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.

• Amber Henry, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • Eagle River, AK
  • NPI 1649698721
  Authorized official Same address or phone

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1669995700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10928 EAGLE RIVER RD STE 104",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778079",
            "telephone_number": "907-622-2122",
            "fax_number": "855-368-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10928 EAGLE RIVER RD STE 104",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778079",
            "telephone_number": "907-622-2122",
            "fax_number": "855-368-5399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10928 Eagle River Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "AK",
            "postal_code": "99577",
            "country_code": "US",
            "telephone_number": "907-622-2122",
            "fax_number": "855-368-5399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDNIGHT SUN SPEECH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "907-622-2122",
        "authorized_official_credential": "M.ED, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "SLPS518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midnight Sun Speech Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.