Foundations Speech Pathology

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

FOUNDATIONS SPEECH PATHOLOGY

Practice address

3832 Doeskin Dr
Apex, NC 27539-8643

Phone

(919) 455-1951

Fax

(919) 887-2781

NPI assigned

Nov 16, 2018

Last updated

Mar 23, 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

Tammy Grass, M. ED., CCC-SLP

Title

Speech Language Pathologist

Phone

(919) 455-1951

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1679042899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3832 DOESKIN DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275398643",
            "telephone_number": "919-455-1951",
            "fax_number": "919-887-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3832 DOESKIN DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275398643",
            "telephone_number": "919-455-1951",
            "fax_number": "919-887-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS SPEECH PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "GRASS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "919-455-1951",
        "authorized_official_credential": "M. ED.,  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": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.