NPIMap

Organization Active NPI

Remedial Specialists, LLC

  • Speech-Language Pathologist
  • Water Valley, MS
National Provider Identifier
1902950231
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S3049 Issued in MS
Legal business name
REMEDIAL SPECIALISTS, LLC
Practice address
105 N Court St
Water Valley, MS 38965-1806
Phone
(662) 473-0012
Fax
(662) 473-0013
NPI assigned
Jan 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Elizabeth A. Gochnour, SLPNPI 1255510178
Title
Director
Phone
(662) 473-0012

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 Pathologist 235Z00000X S3049 MS Primary

Addresses

Primary practice location

105 N Court St
Water Valley, MS 38965-1806

Mailing address

PO Box 594
Water Valley, MS 38965-0594
Phone (662) 473-0012

Other identifiers 2

IdentifierTypeStateIssuer
0786823OtherMSCIGNA PROVIDER I.D.
V02064770OtherMSDISABILTY DETERM VENDOR #

National Provider Directory

National Provider Directory

Locations

105 N Court St
Water Valley, MS 38965
Phone (662) 473-0012

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902950231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 594",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389650594",
            "telephone_number": "662-473-0012",
            "fax_number": "662-473-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N COURT ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389651806",
            "telephone_number": "662-473-0012",
            "fax_number": "662-473-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDIAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOCHNOUR",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "662-473-0012",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER I.D.",
            "identifier": "0786823",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DISABILTY DETERM VENDOR #",
            "identifier": "V02064770",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Water Valley, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.