Organization Active NPI

Speech in Bloom LLC

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1710564943
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH IN BLOOM LLC
Practice address
1355 Euclid Ave NE Apt 6a
Atlanta, GA 30307-1531
Phone
(703) 999-3073
NPI assigned
Mar 25, 2021
Last updated
Mar 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Ariel Basden, M.S., CCC-SLPNPI 1003381682
Title
Speech-Language Pathologist
Phone
(703) 999-3073

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 Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

1355 Euclid Ave NE Apt 6a
Atlanta, GA 30307-1531

Mailing address

1355 Euclid Ave NE Apt 6a
Atlanta, GA 30307-1531
Phone (703) 999-3073

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1710564943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 EUCLID AVE NE APT 6A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071531",
            "telephone_number": "703-999-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 EUCLID AVE NE APT 6A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071531",
            "telephone_number": "703-999-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH IN BLOOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "BASDEN",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "703-999-3073",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.