SPEAK THERAPY GROUP LLC (NPI# 1427440510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427440510 |
| Entity Type | Organization |
| Organization Name | SPEAK THERAPY GROUP LLC |
| Practice Address |
1300 Lopez Rd Chamberino NM 88002 |
| Mailing Address |
Po Box 744 Chamberino NM 88027-0744 |
| Practice Telephone | 9155261211 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-05-05 |
| Authorized Official Name | ROXANNE C HERNANDEZ (OWNER) |
| Authorized Official Telephone | 9155261211 |
| Authorized Official Credential | M.S., CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 105155 | TX | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 5455 | NM | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 50579339 | 05 |
| Street Address |
1300 LOPEZ RD |
| City | CHAMBERINO |
| State | NM |
| Zip Code | 88002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437403359 | National Vision Optical | Technician/Technologist | Main Exchange Bldg. 260, White Sands Missile Range, NM 88002 | 2012-10-30 |
| 1740548379 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Bldg. 260, Main Exchange, White Sands Missle Range, NM 88002 | 2012-05-02 |
| 1629274105 | William Beaumont Army Medical Center | Clinic/Center | 525 Rock Island, White Sands, NM 88002 | 2007-06-22 |
| 1780783134 | William Beaumont Army Medical | Military/U.S. Coast Guard Pharmacy | Aberdeen Ave, Bldg 1363, White Sand Missile Range, NM 88002 | 2006-09-22 |
| 1639382047 | William Beaumont Army Medical Center | Clinic/Center | 530 Rock Island Ave, White Sands Missile Range, NM 88002-1197 | 2007-05-08 |
| 1952546970 | William Beaumont Army Medical Center | Clinic/Center | 530 Rock Island Ave, Bldg 2 Tmc Mcgregor Range, White Sands Missile Range, NM 88002-1197 | 2008-12-04 |
| 1952716896 | William Beaumont Army Medical Center | Military/U.S. Coast Guard Pharmacy | 1363 Aberdeen Road, White Sands Missile Range, NM 88002-5520 | 2014-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154770162 | Francisco Rodriguez Jr. | Technician, Other | 208 N San Luis Ave, Chamberino, NM 88027 | 2016-06-09 |
| 1497177257 | Jose Luvian | Case Manager/Care Coordinator | 134 N Lopez, Chamberino, NM 88027 | 2014-01-14 |
| 1508287939 | Brisa Luvian | Case Manager/Care Coordinator | 134 Lopez Ave, Chamberino, NM 88027-0473 | 2014-01-03 |
| 1992901797 | Roberto Perez Jacquez | Counselor | 515 E. Lara Road, Chamberino, NM 88027-0307 | 2007-06-27 |
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009829 | Katlyn Ann Ferguson | Speech-Language Pathologist | 4316 Sabana Loop Se Apt D, Rio Rancho, NM 87124-1422 | 2020-10-05 |
| 1881291987 | Jennifer Tassaro | Speech-Language Pathologist | 3315 Louisiana Blvd Ne, Albuquerque, NM 87110-2165 | 2020-10-02 |
| 1205443470 | Lauren Salm | Speech-Language Pathologist | 7215 Montgomery Blvd Ne, Albuquerque, NM 87109-1508 | 2020-09-30 |
| 1164035705 | Deanna Mari Cordova | Speech-Language Pathologist | 1517 S Main Ave, Portales, NM 88130-6928 | 2020-08-24 |
| 1972113660 | Jenna Marie Gomez | Speech-Language Pathologist | 620 Lomas Blvd Nw # 2080, Albuquerque, NM 87102-2080 | 2020-08-06 |
| 1508476508 | Betty Joanne Hauser | Speech-Language Pathologist | 3401 E 30th St Ste A, Farmington, NM 87402-8805 | 2020-08-04 |
| 1477176758 | New Mexico Speech and Swallowing Services, LLC | Speech-Language Pathologist | 400 E College Blvd Ste E, Roswell, NM 88201-7570 | 2020-05-21 |
| 1912526310 | Madeleine O'neill | Speech-Language Pathologist | 614 Lafayette Dr Ne, Albuquerque, NM 87106-2144 | 2020-04-15 |
| 1124653191 | Megan Mcnutt | Speech-Language Pathologist | 18 Copper Ridge Dr, Silver City, NM 88061-8629 | 2020-03-10 |
| 1104450139 | Jennifer Edwards | Speech-Language Pathologist | 700 W Stevens St, Carlsbad, NM 88220-4958 | 2020-02-28 |
| Find all providers with the same taxonomy | ||||
| City | CHAMBERINO |
| Zip Code | 88002 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.