NPIMap

Organization Active NPI

Speech- Language Therapy Services

  • Speech-Language Pathologist
  • Anchorage, AK
National Provider Identifier
1891129086
Registry record updated Aug 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
BL22023 Issued in AK
Legal business name
SPEECH- LANGUAGE THERAPY SERVICES
Practice address
4325 Laurel St
Ste 100
Anchorage, AK 99508-5364
Phone
(907) 569-5666
Fax
(866) 393-1651
NPI assigned
Aug 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2013

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

Authorized official

Name
Mrs. Rita K Hanson-Bohl, BILLING STAFF
Title
Owner of Billing Company
Phone
(512) 656-3830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X BL22023 AK Primary

Addresses

Primary practice location

4325 Laurel St
Ste 100
Anchorage, AK 99508-5364

Mailing address

4325 Laurel St
Ste 100
Anchorage, AK 99508-5364
Phone (907) 569-5666

Other identifiers 1

IdentifierTypeStateIssuer
MPG0462MedicaidAK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1377302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377302400000",
    "number": "1891129086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 LAUREL ST",
            "address_2": "STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085364",
            "telephone_number": "907-569-5666",
            "fax_number": "866-393-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 LAUREL ST",
            "address_2": "STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085364",
            "telephone_number": "907-569-5666",
            "fax_number": "866-393-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH- LANGUAGE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-24",
        "last_updated": "2013-08-24",
        "status": "A",
        "authorized_official_last_name": "HANSON-BOHL",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER OF BILLING COMPANY",
        "authorized_official_telephone_number": "512-656-3830",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BILLING STAFF"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "BL22023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MPG0462",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2013; 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.