Eazy Speech, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

SLP000247 Issued in DC

Legal business name

EAZY SPEECH, LLC

Practice address

4205 Lakeview Dr
Temple Hills, MD 20748-4934

Phone

(301) 848-3216

Fax

(301) 848-3216

NPI assigned

May 24, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Linda Joyce Vaughn, M.S., CCC-SLP

Title

Speech Language Pathologist

Phone

(301) 848-3216

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1770930356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 LAKEVIEW DR",
            "address_2": "P.O. BOX 1433",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207484934",
            "telephone_number": "301-848-3216",
            "fax_number": "301-848-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 LAKEVIEW DR",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207484934",
            "telephone_number": "301-848-3216",
            "fax_number": "301-848-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAZY SPEECH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "301-848-3216",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": "SLP000247",
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "DC",
            "license": "SLP000247",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFICATION",
            "identifier": "1598957995",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.