Organization Active NPI

Little Sprout Speech, LLC

  • Early Intervention Provider Agency
  • North Bethesda, MD
National Provider Identifier
1972903359
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
06297 Issued in MD
Legal business name
LITTLE SPROUT SPEECH, LLC
Practice address
11908 Bristol Manor CT
North Bethesda, MD 20852-5804
Phone
(301) 943-0920
Fax
(240) 260-1450
NPI assigned
Sep 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Authorized official

Name
Hallie Bulkin, MA CCC-SLPNPI 1780022392
Title
Owner
Phone
(301) 943-0920

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
Early Intervention Provider Agency 252Y00000X 06297 MD Primary

Addresses

Primary practice location

11908 Bristol Manor CT
North Bethesda, MD 20852-5804

Mailing address

11908 Bristol Manor CT
North Bethesda, MD 20852-5804
Phone (301) 943-0920

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1972903359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11908 BRISTOL MANOR CT",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208525804",
            "telephone_number": "301-943-0920",
            "fax_number": "240-260-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11908 BRISTOL MANOR CT",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208525804",
            "telephone_number": "301-943-0920",
            "fax_number": "240-260-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SPROUT SPEECH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "BULKIN",
        "authorized_official_first_name": "HALLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-943-0920",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MD",
            "license": "06297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bethesda, MD

Sources for this page

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