Organization Active NPI

Sweet Magnolia Speech Therapy PLLC

  • Speech-Language Pathologist
  • Seven Lakes, NC
National Provider Identifier
1023609237
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SWEET MAGNOLIA SPEECH THERAPY PLLC
Practice address
124 N Trade St
Seven Lakes, NC 27376-9335
Phone
(910) 227-9892
NPI assigned
Jan 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Katelynne Marie Adams Svalina, MS, CCC-SLP
Title
Owner, Speech-Language Pathologist
Phone
(719) 650-3281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

124 N Trade St
Seven Lakes, NC 27376-9335

Mailing address

1180 McCaskill Rd
Carthage, NC 28327-8950
Phone (719) 650-3281

Other identifiers 1

IdentifierTypeStateIssuer
1972156651MedicaidNC

National Provider Directory

National Provider Directory

Locations

124 N Trade St
Seven Lakes, NC 27376
Phone (704) 709-9353

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1023609237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 MCCASKILL RD",
            "city": "CARTHAGE",
            "state": "NC",
            "postal_code": "283278950",
            "telephone_number": "719-650-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N TRADE ST",
            "city": "SEVEN LAKES",
            "state": "NC",
            "postal_code": "273769335",
            "telephone_number": "910-227-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET MAGNOLIA SPEECH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-30",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "SVALINA",
        "authorized_official_first_name": "KATELYNNE",
        "authorized_official_middle_name": "MARIE ADAMS",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "719-650-3281",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972156651",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seven Lakes, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.