Walk the Talk Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

WALK THE TALK SPEECH THERAPY LLC

Practice address

156 Heath Crossing Rd
MC Rae, GA 31055-5228

Phone

(904) 629-9215

NPI assigned

Aug 30, 2022

Last updated

Aug 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tiffany Waters Spurlin, MED CCC-SLPNPI 1730501156

Title

Owner

Phone

(904) 629-9215

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 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.

• Tiffany Waters Spurlin, MED CCC-SLP

  • Speech-Language Pathologist
  • McRae, GA
  • NPI 1730501156
  Authorized official Same address or phone

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1811617012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 HEATH CROSSING RD",
            "city": "MC RAE",
            "state": "GA",
            "postal_code": "310555228",
            "telephone_number": "904-629-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 HEATH CROSSING RD",
            "city": "MC RAE",
            "state": "GA",
            "postal_code": "310555228",
            "telephone_number": "904-629-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALK THE TALK SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "SPURLIN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "WATERS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-629-9215",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MED CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in McRae, GA
• Providers in McRae, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.