Organization Active NPI

Core Communication Center, LLC

  • Speech-Language Pathologist
  • Fitchburg, MA
National Provider Identifier
1952751216
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 5070-SL Issued in MA
Legal business name
CORE COMMUNICATION CENTER, LLC
Practice address
619 South St
Fitchburg, MA 01420-6248
Phone
(978) 827-0757
Fax
(978) 703-4431
NPI assigned
Jun 17, 2016
Last updated
Jun 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Authorized official

Name
Kimberly Anne Porter, MS, CCC-SLPNPI 1154501518
Title
Speech & Language Pathologist
Phone
(978) 833-1887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP 5070-SL MA Primary

Addresses

Primary practice location

619 South St
Fitchburg, MA 01420-6248

Mailing address

66 Saw Mill Pond Rd
Fitchburg, MA 01420-6041
Phone (978) 833-1887

National Provider Directory

National Provider Directory

Locations

619 South St
Fitchburg, MA 01420
Phone (978) 827-0757

24 Massachusetts Ave
Ste 105
Lunenburg, MA 01462

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": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1952751216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SAW MILL POND RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014206041",
            "telephone_number": "978-833-1887",
            "fax_number": "978-703-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 SOUTH ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014206248",
            "telephone_number": "978-827-0757",
            "fax_number": "978-703-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE COMMUNICATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "SPEECH & LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "978-833-1887",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SP 5070-SL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.