NPIMap

Organization Active NPI

Eugene Speech Therapy LLC

  • Speech-Language Pathologist
  • Eugene, OR
National Provider Identifier
1710450697
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
EUGENE SPEECH THERAPY LLC
Practice address
385 W 2ND Ave
Eugene, OR 97401-9740
Phone
(541) 600-2028
NPI assigned
Jan 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Sierra Corbin, MS.EDNPI 1316349509
Title
Owner
Phone
(541) 301-8901

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 Primary

Addresses

Primary practice location

385 W 2ND Ave
Eugene, OR 97401-9740

Mailing address

985 Tiara St
Eugene, OR 97405-6309
Phone (541) 301-8901

Other identifiers 2

IdentifierTypeStateIssuer
500717634MedicaidOR
1316349509OtherORNPI

National Provider Directory

National Provider Directory

Locations

385 W 2nd Ave
Eugene, OR 97401
Phone (541) 301-8901

Practitioners & affiliated clinicians

Practitioners 6

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": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1710450697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 TIARA ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974056309",
            "telephone_number": "541-301-8901",
            "fax_number": "541-843-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 W 2ND AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974019740",
            "telephone_number": "541-600-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "CORBIN",
        "authorized_official_first_name": "SIERRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-301-8901",
        "authorized_official_credential": "MS.ED"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500717634",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316349509",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.