Bonfire Speech Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BONFIRE SPEECH SERVICES

Practice address

2068 Route 310
Reynoldsville, PA 15851-2123

Phone

(814) 952-2831

NPI assigned

Feb 23, 2023

Last updated

Feb 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katie R Walker, M.S. CCC-SLPNPI 1114490430

Title

Speech Language Pathologist

Phone

(814) 952-2831

Specialties & licenses 1

Addresses

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.

• Katie Walker, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Punxsutawney, PA
  • NPI 1114490430
  NPD Authorized official

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1710685292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2068 ROUTE 310",
            "city": "REYNOLDSVILLE",
            "state": "PA",
            "postal_code": "158512123",
            "telephone_number": "814-952-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2068 ROUTE 310",
            "city": "REYNOLDSVILLE",
            "state": "PA",
            "postal_code": "158512123",
            "telephone_number": "814-952-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONFIRE SPEECH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "814-952-2831",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelus Home Health Care LLC
• Corey A Bookhamer, DC
• Nicholas Angelo Centra, DC
• Tara Brooke Centra
• James F Cobbett, PA-C
• Dubois Regional Medical Center (DRMC PCA Reynoldsville)

• Speech-Language Pathologist in Reynoldsville, PA
• Providers in Reynoldsville, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.