NPIMap

Organization Active NPI

Sunflower Speech Therapy, LLC

  • Speech-Language Pathologist
  • New Buffalo, MI
National Provider Identifier
1891313094
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SUNFLOWER SPEECH THERAPY, LLC
Practice address
45 N Whittaker Street
Suite 204
New Buffalo, MI 49117
Phone
(269) 235-9821
NPI assigned
Jul 14, 2020
Last updated
Jan 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Nicole Ann Donnelly, M.S.NPI 1770915431
Title
SLP/Owner
Phone
(269) 235-9821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

45 N Whittaker Street
Suite 204
New Buffalo, MI 49117

Mailing address

45 N Whittaker Street
Suite 204
New Buffalo, MI 49117
Phone (269) 235-9821

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1891313094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N WHITTAKER STREET",
            "address_2": "SUITE 204",
            "city": "NEW BUFFALO",
            "state": "MI",
            "postal_code": "49117",
            "telephone_number": "269-235-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N WHITTAKER STREET",
            "address_2": "SUITE 204",
            "city": "NEW BUFFALO",
            "state": "MI",
            "postal_code": "49117",
            "telephone_number": "269-235-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFLOWER SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SLP/OWNER",
        "authorized_official_telephone_number": "269-235-9821",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Buffalo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.