NPIMap

Organization Active NPI

Speech Path Early Intervention Services LLC

  • Speech-Language Pathologist
  • Glen Allen, VA
National Provider Identifier
1942942057
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH PATH EARLY INTERVENTION SERVICES LLC
Practice address
5706 Bradington CT
Glen Allen, VA 23059-6941
Phone
(804) 814-6250
NPI assigned
Apr 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Amy Carlton
Title
Owner
Phone
(804) 814-6250

Specialties & licenses 1

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

Addresses

Primary practice location

5706 Bradington CT
Glen Allen, VA 23059-6941

Mailing address

5706 Bradington CT
Glen Allen, VA 23059-6941
Phone (804) 814-6250

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1649462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1942942057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5706 BRADINGTON CT",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230596941",
            "telephone_number": "804-814-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5706 BRADINGTON CT",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230596941",
            "telephone_number": "804-814-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PATH EARLY INTERVENTION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-09",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "CARLTON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-814-6250"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.