Speech Waves, PLLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

SPEECH WAVES, PLLC

Practice address

1427 Military Cutoff Rd Ste 211
Wilmington, NC 28403-3696

Phone

(910) 777-4750

NPI assigned

Oct 23, 2019

Organization subpart

No

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

Authorized official

Name

Kristen Downey, CCC-SLPNPI 1063064319

Title

Owner

Phone

(910) 777-4750

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Downey, CCC-SLP

  • Speech-Language Pathologist
  • Wilmington, NC
  • NPI 1063064319
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1902449770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 OCEANAIRE LN",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284455501",
            "telephone_number": "910-777-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 MILITARY CUTOFF RD STE 211",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033696",
            "telephone_number": "910-777-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH WAVES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "DOWNEY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-777-4750",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063064319",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Speech 4 Kidz
• Speech 4 Kidz, Inc
• Speech 4 Kidz, Inc
• Speech Elements
• Speech Pals Therapy, PLLC
• Serenity Pamela Speight, CADC-I
• Renee Steckley Speir, RPA-C
• Jordan Clifton Spellman, MD
• Mallory Jo Spence, MSW, LCASA, LCSWA
• Nicole Malnar Spence, LCSW

• Hearing and Speech Clinic/Center in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Hearing and Speech Clinic/Center in North Carolina

• 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.
• 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.