NPI Code Detail JSON Logo

1538893060 NPI number — TRASK SPEECH LANGUAGE PATHOLOGY

NPI Number: 1538893060
Health Care Provider/Practitioner: TRASK SPEECH LANGUAGE PATHOLOGY

Information about “1538893060” NPI (TRASK SPEECH LANGUAGE PATHOLOGY) exists in 1538893060 in HTML format HTML  |  1538893060 in plain Text format TXT  |  1538893060 in PDF (Portable Document Format) PDF  |  1538893060 in an XML format XML  formats.

NPI Number : 1538893060 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538893060",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TRASK SPEECH LANGUAGE PATHOLOGY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "13455 ROCKWOOD RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RAPID CITY",
    "MailingAddressStateName": "SD",
    "MailingAddressPostalCode": "57702-6502",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4447 S CANYON RD STE 6",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RAPID CITY",
    "PracticeLocationAddressStateName": "SD",
    "PracticeLocationAddressPostalCode": "57702-1889",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "605-443-6164",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/11/2022",
    "LastUpdateDate": "02/16/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TRASK",
    "AuthorizedOfficialFirstName": "TIFFANY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MA, CCC-SLP",
    "AuthorizedOfficialTelephoneNumber": "605-209-8792",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.