Active NPI
Diana Acevedo, M.S. CCC-SLP
- Speech-Language Pathologist
- Durham, NC
National Provider Identifier
1003169558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10568
- Practice address
- 40 Duke Medicine Cir # 1I
Durham, NC 27710-4000 - Phone
- (919) 684-3451
- Fax
- (919) 684-6271
- NPI assigned
- Oct 22, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.006743 | IL | |
| Speech-Language Pathologist | 235Z00000X | 10568 | NC | Primary |
Addresses
Primary practice location
40 Duke Medicine Cir # 1I
Durham, NC 27710-4000
Mailing address
PO Box 3887
Durham, NC 27710-0409
Phone (919) 684-6271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10568 | NC | MD | Physical Rehabilitation Occupational Therapist |
| 146.006743 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429142400000",
"number": "1003169558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3887",
"city": "DURHAM",
"state": "NC",
"postal_code": "277100409",
"telephone_number": "919-684-6271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 DUKE MEDICINE CIR # 1I",
"city": "DURHAM",
"state": "NC",
"postal_code": "277104000",
"telephone_number": "919-684-3451",
"fax_number": "919-684-6271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO",
"first_name": "DIANA",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-22",
"last_updated": "2015-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.006743",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "10568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.