Active NPI
Shaterrica Nicole Crawley, MS, CCC-SLP
- Speech-Language Pathologist
- Greenville, NC
National Provider Identifier
1013546589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14053
- Practice address
- 300 E Arlington Blvd Ste 2B
Greenville, NC 27858-5024 - Phone
- (252) 355-5535
- NPI assigned
- Apr 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14053 | NC | Primary |
Addresses
Primary practice location
300 E Arlington Blvd Ste 2B
Greenville, NC 27858-5024
Mailing address
PO Box 2417
Winterville, NC 28590-2417
Phone (252) 916-1029
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14053 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1013546589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2417",
"city": "WINTERVILLE",
"state": "NC",
"postal_code": "285902417",
"telephone_number": "252-916-1029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E ARLINGTON BLVD STE 2B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585024",
"telephone_number": "252-355-5535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWLEY",
"first_name": "SHATERRICA",
"middle_name": "NICOLE",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-06",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "14053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.