Speech Horizons, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA13303 Issued in FL

Legal business name

SPEECH HORIZONS, LLC

Practice address

2152 SE Watercrest St
Port St Lucie, FL 34984-4738

Phone

(302) 981-2901

NPI assigned

Oct 17, 2016

Organization subpart

No

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

Authorized official

Name

Becket DawsonNPI 1255761243

Title

President

Phone

(302) 981-2901

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Becket Dawson, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Jensen Beach, FL
  • NPI 1255761243
  NPD Authorized official

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1770034654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 SE WATERCREST ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349844738",
            "telephone_number": "302-981-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 SE WATERCREST ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349844738",
            "telephone_number": "302-981-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH HORIZONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "BECKET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-981-2901"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010313900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.