Active NPI
Andrea Banks, Speech Pathology, LLC
- Hearing and Speech Clinic/Center
- Charlestown, MA
National Provider Identifier
1841832615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- ANDREA BANKS, SPEECH PATHOLOGY, LLC
- Practice address
- 11 Salem St
Charlestown, MA 02129-3007 - Phone
- (617) 982-3025
- NPI assigned
- Oct 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Banks, MS/CCC-SLP
- Title
- Owner, Speech-Language Pathologist
- Phone
- (617) 982-3025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
11 Salem St
Charlestown, MA 02129-3007
Mailing address
11 Salem St
Charlestown, MA 02129-3007
Phone (617) 982-3025
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571788800000",
"number": "1841832615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 SALEM ST",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021293007",
"telephone_number": "617-982-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 SALEM ST",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021293007",
"telephone_number": "617-982-3025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREA BANKS, SPEECH PATHOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-14",
"last_updated": "2019-10-23",
"status": "A",
"authorized_official_last_name": "BANKS",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "617-982-3025",
"authorized_official_credential": "MS/CCC-SLP"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlestown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.