NPIMap

Organization Active NPI

Little Blossom Therapies

  • Speech-Language Pathologist
  • Hayesville, NC
National Provider Identifier
1689045866
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11169 Issued in NC
Legal business name
LITTLE BLOSSOM THERAPIES
Practice address
45 Tranquility LN
Hayesville, NC 28904-8908
Phone
(630) 229-5390
NPI assigned
Oct 13, 2015
Last updated
Oct 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Sarah Nosheen Quadri, MS, CCC-SLP
Title
Director
Phone
(630) 229-5390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 11169 NC Primary

Addresses

Primary practice location

45 Tranquility LN
Hayesville, NC 28904-8908

Mailing address

45 Tranquility LN
Hayesville, NC 28904-8908

Other identifiers 1

IdentifierTypeStateIssuer
2855MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1689045866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 TRANQUILITY LN",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289048908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 TRANQUILITY LN",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289048908",
            "telephone_number": "630-229-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE BLOSSOM THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "QUADRI",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "NOSHEEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-229-5390",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2855",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.