NPIMap

Organization Active NPI

Cooper Speech Services LLC

  • Speech-Language Pathologist
  • Wadley, GA
National Provider Identifier
1730800145
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
COOPER SPEECH SERVICES LLC
Practice address
3502 Pollett Rd
Wadley, GA 30477-3538
Phone
(478) 469-3557
NPI assigned
Sep 6, 2022
Last updated
Sep 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Kimberly Page Cooper, SLPNPI 1104137413
Title
Owner
Phone
(478) 494-6743

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

3502 Pollett Rd
Wadley, GA 30477-3538

Mailing address

3502 Pollett Rd
Wadley, GA 30477-3538
Phone (478) 469-3557

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": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1730800145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 POLLETT RD",
            "city": "WADLEY",
            "state": "GA",
            "postal_code": "304773538",
            "telephone_number": "478-469-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 POLLETT RD",
            "city": "WADLEY",
            "state": "GA",
            "postal_code": "304773538",
            "telephone_number": "478-469-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER SPEECH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "PAGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-494-6743",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadley, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.