Active NPI
Speech and Feeding Haven PLLC
- Speech-Language Pathologist
- Charlotte, NC
National Provider Identifier
1013670553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SPEECH AND FEEDING HAVEN PLLC
- Practice address
- 1235 East Blvd Ste E
129
Charlotte, NC 28203-5870 - Phone
- (704) 665-7611
- Fax
- (704) 973-7784
- NPI assigned
- Oct 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin R Ray, MA, CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (704) 491-9847
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1235 East Blvd Ste E
129
Charlotte, NC 28203-5870
Mailing address
1235 East Blvd Ste E
129
Charlotte, NC 28203-5870
Phone (704) 665-7611
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Charlotte, NC
- NPI 1699099721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636070400000",
"number": "1013670553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 EAST BLVD STE E",
"address_2": "129",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035870",
"telephone_number": "704-665-7611",
"fax_number": "704-973-7784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 EAST BLVD STE E",
"address_2": "129",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035870",
"telephone_number": "704-665-7611",
"fax_number": "704-973-7784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH AND FEEDING HAVEN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-21",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A",
"authorized_official_last_name": "RAY",
"authorized_official_first_name": "ERIN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "704-491-9847",
"authorized_official_credential": "MA, CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"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 Nov 5, 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.