NPIMap

Organization Active NPI

Dolores Thomas

Doing business as Brevard Speech Consultants

  • Speech-Language Pathologist
  • Rockledge, FL
National Provider Identifier
1699832659
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA29 Issued in FL
Legal business name
DOLORES THOMAS
Doing business as
Brevard Speech Consultants
Practice address
882 Kings Post Rd
Rockledge, FL 32955-3514
Phone
(321) 632-4491
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dolores ThomasNPI 1063579035
Title
Owner
Phone
(321) 632-4491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA29 FL Primary

Addresses

Primary practice location

882 Kings Post Rd
Rockledge, FL 32955-3514

Mailing address

882 Kings Post Rd
Rockledge, FL 32955-3514
Phone (321) 632-4491

Other identifiers 1

IdentifierTypeStateIssuer
882252200MedicaidFL

Other names 1

  • Brevard Speech Consultants Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1699832659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 KINGS POST RD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553514",
            "telephone_number": "321-632-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 KINGS POST RD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553514",
            "telephone_number": "321-632-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLORES THOMAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-632-4491"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA29",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "882252200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brevard Speech Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.