Organization Active NPI

K-Beach Speech, LLC

  • Speech-Language Pathologist
  • Soldotna, AK
National Provider Identifier
1932523396
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
346 Issued in AK
Legal business name
K-BEACH SPEECH, LLC
Practice address
36484 Meandering Rd
Soldotna, AK 99669-6202
Phone
(907) 252-6465
Fax
(907) 260-4166
NPI assigned
Feb 5, 2014
Last updated
Feb 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Annarose Noelle Miller, MA, CCC-SLPNPI 1750672713
Title
Speech Language Pathologist
Phone
(907) 252-6465

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 346 AK Primary

Addresses

Primary practice location

36484 Meandering Rd
Soldotna, AK 99669-6202

Mailing address

PO Box 578
Kenai, AK 99611-0578
Phone (907) 252-6465

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": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1932523396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996110578",
            "telephone_number": "907-252-6465",
            "fax_number": "907-260-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36484 MEANDERING RD",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996696202",
            "telephone_number": "907-252-6465",
            "fax_number": "907-260-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K-BEACH SPEECH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ANNAROSE",
        "authorized_official_middle_name": "NOELLE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "907-252-6465",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.