Organization Active NPI

Andrea Banks, Speech Pathology, LLC

  • Hearing and Speech Clinic/Center
  • Charlestown, MA
National Provider Identifier
1841832615
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
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

Updated by the provider on Oct 23, 2019

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.