Taking Flight Pediatric Speech & Language Therapy, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TAKING FLIGHT PEDIATRIC SPEECH & LANGUAGE THERAPY, LLC

Practice address

4034 Fenrose Cir
Melbourne, FL 32940-1213

Phone

(321) 591-1250

Fax

(321) 541-9147

NPI assigned

May 26, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Dana E. McClure, M.A, CCC-SLPNPI 1689020893

Title

Speech Pathologist/Owner/Employee

Phone

(321) 591-1250

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana E McClure, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Melbourne, FL
  • NPI 1689020893
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1962077370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4034 FENROSE CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401213",
            "telephone_number": "321-591-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4034 FENROSE CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401213",
            "telephone_number": "321-591-1250",
            "fax_number": "321-541-9147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 W Eau Gallie Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329347298",
            "country_code": "US",
            "telephone_number": "321-591-1250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAKING FLIGHT PEDIATRIC SPEECH & LANGUAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/OWNER/EMPLOYEE",
        "authorized_official_telephone_number": "321-591-1250",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicole F Taft, PA-C
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• Talkin' With Purpose, LLC

• Clinic/Center in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.