Meredith Livingston Bates

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

13416 Issued in NC

Practice address

709 Northeast Dr Ste 23
Davidson, NC 28036-7425

Phone

(704) 737-2402

NPI assigned

Aug 24, 2020

Last updated

Oct 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1003429747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 NORTHEAST DR STE 23",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367425",
            "telephone_number": "704-737-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 NORTHEAST DR STE 23",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367425",
            "telephone_number": "704-737-2402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11810 Royal Castle Ct",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282773164",
            "country_code": "US",
            "telephone_number": "704-737-2402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATES",
        "first_name": "MEREDITH",
        "middle_name": "LIVINGSTON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205066016",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Barker, LMFT
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• Karen McCabe Barry, LMFT
• Thomas Allen Batchelor, MD
• Robert Bauer, DO
• Ronnie T. Beamon, MD
• Belight Holistic Psychotherapy & Wellness, PLLC
• Raymond Beltz Jr., LAT, ATC
• Benchmark Physical Therapy of NC, LLC

• Speech-Language Pathologist in Davidson, NC
• Providers in Davidson, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.