Jubilee Pediatric Speech Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2955 Issued in AL

Legal business name

JUBILEE PEDIATRIC SPEECH SERVICES, LLC

Practice address

9086 Merritt LN
Suite D
Daphne, AL 36526-5612

Phone

(251) 340-2166

Fax

(251) 405-3416

NPI assigned

Dec 14, 2015

Organization subpart

No

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

Authorized official

Name

Lori G Foran, PH.D., CCC-SLPNPI 1518101047

Title

Owner

Phone

(251) 340-2166

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori Goodnature Foran, PH.D., CCC-SLP

  • Speech-Language Pathologist
  • Hilton Head Island, SC
  • NPI 1518101047
  NPD Authorized official

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1821463092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9086 MERRITT LN",
            "address_2": "SUITE D",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365265612",
            "telephone_number": "251-340-2166",
            "fax_number": "251-405-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9086 MERRITT LN",
            "address_2": "SUITE D",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365265612",
            "telephone_number": "251-340-2166",
            "fax_number": "251-405-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE PEDIATRIC SPEECH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "FORAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-340-2166",
        "authorized_official_credential": "PH.D., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518101047",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amy Elizabeth Kayl, D.O.
• Erin Elizabeth Keck, PHARMD
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• Marlena Kelley, PHARMD

• Speech-Language Pathologist in Daphne, AL
• Providers in Daphne, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.