Speech Pathology Associates Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPEECH PATHOLOGY ASSOCIATES INC

Practice address

1810 E Beltline Ave SE
Devos Communication Center, 225a
Grand Rapids, MI 49546-5951

Phone

(616) 954-1810

NPI assigned

Mar 13, 2013

Organization subpart

No

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

Authorized official

Name

Patricia R Edwards, MS-CCC-SLPNPI 1801137005

Title

Authorized Official

Phone

(616) 450-9668

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Patricia R Edwards, MS-CCC-SLP

  • Speech-Language Pathologist
  • Grand Rapids, MI
  • NPI 1801137005
  NPD (past) Authorized official

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1730420936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3951 BRIDGESTONE DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495461378",
            "telephone_number": "616-954-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 E BELTLINE AVE SE",
            "address_2": "DEVOS COMMUNICATION CENTER, 225A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465951",
            "telephone_number": "616-954-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PATHOLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "616-450-9668",
        "authorized_official_credential": "MS-CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATION",
            "identifier": "00972133",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spectrum Health Worth Services
• Spectrum Health Worth Services
• Spectrum Health Worth Services
• Spectrum Nest Center LLC
• Speech and Voice Solutions LLC
• McKenna Marie Speed
• Jessica Rae Speelman
• Anna Christine Speer, DTLLP
• Cassandra Spees
• Terry Duane Speese, LMSW

• Speech-Language Pathologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.