Speech Therapy Unboxed

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6574955-4102 Issued in UT

Legal business name

SPEECH THERAPY UNBOXED

Practice address

447 N 300 W Ste 8
Kaysville, UT 84037-4203

Phone

(703) 217-9331

NPI assigned

Jul 13, 2017

Organization subpart

No

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

Authorized official

Name

Breanna Nelson, M.S. CCC-SLP

Title

Speech Language Pathologist

Phone

(703) 217-9331

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Breanna Rose, M.S.

  • Speech-Language Pathologist
  • Bountiful, UT
  • NPI 1942260401
  NPD

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1679095491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 N MAIN ST",
            "address_2": "STE D #191",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "84037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 N 300 W STE 8",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840374203",
            "telephone_number": "703-217-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH THERAPY UNBOXED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "703-217-9331",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "6574955-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael C Smith, MPT, CSCS
• Smiths Food & Drug Centers Inc (Smith's Pharmacy #277)
• Tarren Smoot, DNP-FNP BC, BSN, RN
• George Francis Snell, MD
• Quincy Snell
• Travis Spencer, CSW
• Jennifer Spieth, CSW
• Sports & Orthopedic Physical Therapy of Kaysville LC
• Nicole Stapley, DNP
• Stayfitwellness Clinic

• Speech-Language Pathologist in Kaysville, UT
• Providers in Kaysville, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; 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.