Sparkle Speech and Language Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPARKLE SPEECH AND LANGUAGE THERAPY LLC

Practice address

28000 Prairie Springs Drive
Davenport, WA 99122

Phone

(509) 818-0208

Fax

(509) 381-2532

NPI assigned

Jun 25, 2019

Organization subpart

No

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

Authorized official

Name

Alyssa Fleming, MA, CCC-SLPNPI 1538567839

Title

Owner

Phone

(509) 818-0208

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.

• Alyssa Fleming, MA, CCC-SLP

  • Speech-Language Pathologist
  • Davenport, WA
  • NPI 1538567839
  NPD Authorized official

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1790346294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "991220013",
            "telephone_number": "509-818-0208",
            "fax_number": "509-381-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28000 PRAIRIE SPRINGS DRIVE",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "99122",
            "telephone_number": "509-818-0208",
            "fax_number": "509-381-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKLE SPEECH AND LANGUAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-818-0208",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2135668",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine M. Seyler, PA-C
• Krista Camille Seyler
• Skyler Romriell DDS PLLC
• Angela Smith
• Norel L Smith, CRNA
• Paul F Travis, DNP, CRNA
• David Lee Turner, DMD
• Michael G Van Pevenage, RPT
• Barbara Vincent-Oconnor, BS, RDN, CPC
• Benjamin Isaac Wainblat, MD

• Speech-Language Pathologist in Davenport, WA
• Providers in Davenport, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.