Organization Active NPI

Chatter Bug Speech &Language Therapy LLC

  • Speech-Language Pathologist
  • Fort Wayne, IN
National Provider Identifier
1689019861
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22005031A Issued in IN
Legal business name
CHATTER BUG SPEECH &LANGUAGE THERAPY LLC
Practice address
4666 W Jefferson Blvd
Ste 144
Fort Wayne, IN 46804-6892
Phone
(260) 515-9240
NPI assigned
May 1, 2013
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Mrs. Sarah Jeanne Holland, MA,CCC-SLP
Title
Owner/Provider
Phone
(260) 515-9240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22005031A IN Primary

Addresses

Primary practice location

4666 W Jefferson Blvd
Ste 144
Fort Wayne, IN 46804-6892

Mailing address

4666 W Jefferson Blvd
Ste 144
Fort Wayne, IN 46804-6892
Phone (260) 515-9240

National Provider Directory

National Provider Directory

Locations

4666 W Jefferson Blvd
Ste 144
Fort Wayne, IN 46804
Phone (260) 515-9240

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1689019861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4666 W JEFFERSON BLVD",
            "address_2": "STE 144",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046892",
            "telephone_number": "260-515-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4666 W JEFFERSON BLVD",
            "address_2": "STE 144",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046892",
            "telephone_number": "260-515-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTER BUG SPEECH &LANGUAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "260-515-9240",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22005031A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.