Organization Active NPI

Small Talk Speech & Langauge Therapy, Inc

  • Speech-Language Pathologist
  • Port Saint Lucie, FL
National Provider Identifier
1821442690
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SMALL TALK SPEECH & LANGAUGE THERAPY, INC
Practice address
2456 SW Independence Rd
Port Saint Lucie, FL 34953-2415
Phone
(772) 528-1842
Fax
(888) 899-5320
NPI assigned
Apr 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Mrs. Shannon Elizabeth Carvelli, M.A. CCC-SLP
Title
Owner / Speech Language Pathologist
Phone
(772) 528-1842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X FL Primary

Addresses

Primary practice location

2456 SW Independence Rd
Port Saint Lucie, FL 34953-2415

Mailing address

2456 SW Independence Rd
Port Saint Lucie, FL 34953-2415
Phone (772) 528-1842

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.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1821442690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2456 SW INDEPENDENCE RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532415",
            "telephone_number": "772-528-1842",
            "fax_number": "888-899-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2456 SW INDEPENDENCE RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532415",
            "telephone_number": "772-528-1842",
            "fax_number": "888-899-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL TALK SPEECH & LANGAUGE THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "CARVELLI",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER / SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "772-528-1842",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.