Organization Active NPI

South Dakota Speech Pathology Inc

  • Speech-Language Pathologist
  • Crooks, SD
National Provider Identifier
1962077313
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SOUTH DAKOTA SPEECH PATHOLOGY INC
Practice address
500 S Nicole Ave
Crooks, SD 57020-2092
Phone
(925) 951-3462
NPI assigned
May 26, 2021
Last updated
May 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Katie HallNPI 1760630115
Title
Ceo
Phone
(925) 951-3462

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 Primary

Addresses

Primary practice location

500 S Nicole Ave
Crooks, SD 57020-2092

Mailing address

500 S Nicole Ave
Crooks, SD 57020-2092
Phone (925) 951-3462

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": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1962077313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S NICOLE AVE",
            "city": "CROOKS",
            "state": "SD",
            "postal_code": "570202092",
            "telephone_number": "925-951-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S NICOLE AVE",
            "city": "CROOKS",
            "state": "SD",
            "postal_code": "570202092",
            "telephone_number": "925-951-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DAKOTA SPEECH PATHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-951-3462"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crooks, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.