NPIMap

Organization Active NPI

Redmond Speech & Language Total Communication Services, LLC

  • Speech-Language Pathologist
  • Redmond, OR
National Provider Identifier
1902170343
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12904 Issued in OR
Legal business name
REDMOND SPEECH & LANGUAGE TOTAL COMMUNICATION SERVICES, LLC
Practice address
326 SW 7TH St
Redmond, OR 97756-2205
Phone
(541) 316-8004
NPI assigned
Mar 2, 2012
Last updated
Jun 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Angela Bacuyani, MA, CCC-SLPNPI 1801160379
Title
Manager
Phone
(541) 316-8004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 12904 OR Primary

Addresses

Primary practice location

326 SW 7TH St
Redmond, OR 97756-2205

Mailing address

326 SW 7TH St
Redmond, OR 97756-2205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130510000508 OR Part B Supplier - Clinic/Group Practice 8224275219 Receives reassigned benefits from 11 practitioners
Practice locations: Redmond, OR

National Provider Directory

National Provider Directory

Locations

446 NW 3rd St
Prineville, OR 97754
Phone (541) 447-7230

1707 SW Parkway Dr
Ste B
Redmond, OR 97756
Phone (541) 316-8004

326 SW 7th St
Redmond, OR 97756
Phone (541) 316-8004

731 SW Highland Ave
Apt 2
Redmond, OR 97756
Phone (541) 316-8004

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1902170343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 SW 7TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 SW 7TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562205",
            "telephone_number": "541-316-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMOND SPEECH & LANGUAGE TOTAL COMMUNICATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "BACUYANI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-316-8004",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "12904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.