NPIMap

Organization Active NPI

J. Iverson Developmental Center

  • Speech-Language Pathologist
  • Morganton, NC
National Provider Identifier
1013276914
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
J. IVERSON DEVELOPMENTAL CENTER
Practice address
300 Enola Rd
Morganton, NC 28655-4608
Phone
(828) 608-6703
Fax
(828) 608-6950
NPI assigned
May 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Teri Darlene Cornett, BSBS, BACC
Title
Administrative Specialist
Phone
(828) 608-6703

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

300 Enola Rd
Morganton, NC 28655-4608

Mailing address

300 Enola Rd
Morganton, NC 28655-4608
Phone (828) 608-6703

Other identifiers 1

IdentifierTypeStateIssuer
7200456MedicaidNC

Other names 1

  • Family, Infant and Preschool Program Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://hipaa.jotform.com/210495512190046 Direct

National Provider Directory

National Provider Directory
Tax ID family
J Iverson Riddle Developmental Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1013276914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ENOLA RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554608",
            "telephone_number": "828-608-6703",
            "fax_number": "828-608-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ENOLA RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554608",
            "telephone_number": "828-608-6703",
            "fax_number": "828-608-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. IVERSON DEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "CORNETT",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "ADMINISTRATIVE SPECIALIST",
        "authorized_official_telephone_number": "828-608-6703",
        "authorized_official_credential": "BSBS, BACC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200456",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://hipaa.jotform.com/210495512190046",
            "affiliation": "N",
            "endpointDescription": "Referral Form",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPAA compliant Jot Form",
            "address_1": "300 Enola Rd",
            "city": "Morganton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286554608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Family, Infant and Preschool Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family, Infant and Preschool Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.