Individual provider Active NPI

Uma Kalani Gosu, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1003950916
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12093 Issued in NC
Practice address
135 S Sharon Amity Rd Ste 208
Charlotte, NC 28211
Phone
(704) 944-4283
Fax
(980) 819-7817
NPI assigned
Feb 16, 2007
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech/Language/Hearing Specialist/Technologist 235500000X 010000899 DE
Speech-Language Pathologist 235Z00000X SL007938 PA
Speech-Language Pathologist 235Z00000X 12093 NC Primary

Addresses

Primary practice location

135 S Sharon Amity Rd Ste 208
Charlotte, NC 28211

Mailing address

135 S Sharon Amity Rd Ste 208
Charlotte, NC 28211-3871
Phone (704) 944-4283

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
010000899DEMDSpeech/Language/Hearing Specialist/Technologist
12093NCMDSpeech-Language Pathologist
SL007938PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Playdate Speech Therapy Speech-Language Pathologist Current Accepting new patients
Hearing and Balance Solutions PLLC Current Accepting new patients

Locations

135 S Sharon Amity Rd
Ste 208
Charlotte, NC 28211
Phone (704) 342-3402

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1003950916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S SHARON AMITY RD STE 208",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113871",
            "telephone_number": "704-944-4283",
            "fax_number": "980-819-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S SHARON AMITY RD STE 208",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28211",
            "telephone_number": "704-944-4283",
            "fax_number": "980-819-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSU",
        "first_name": "UMA",
        "middle_name": "KALANI",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "DE",
            "license": "010000899",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL007938",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.