Active NPI
Whiteville City Schools
- Speech-Language Pathologist
- Whiteville, NC
National Provider Identifier
1043349624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2655
- Legal business name
- WHITEVILLE CITY SCHOOLS
- Practice address
- 107 W Walter St
Whiteville, NC 28472-4019 - Phone
- (910) 642-4116
- Fax
- (910) 642-0564
- NPI assigned
- Mar 2, 2007
- 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
- Ms. Glenda Phillips, DIRECTOR
- Title
- Ec Director
- Phone
- (910) 914-4161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2655 | NC | Primary |
Addresses
Primary practice location
107 W Walter St
Whiteville, NC 28472-4019
Mailing address
107 W Walter St
Whiteville, NC 28472-4019
Phone (910) 642-4116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8600061 | Medicaid | NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2200666 | Whiteville City Schools | Certificate of waiver | Nov 16, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Whiteville City Schools
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Speech-Language Pathologist
- Whiteville, NC
- NPI 1467582395
Locations
107 W Walter St
Whiteville, NC 28472
Phone (910) 642-4116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043349624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 W WALTER ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284724019",
"telephone_number": "910-642-4116",
"fax_number": "910-642-0564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 W WALTER ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284724019",
"telephone_number": "910-642-4116",
"fax_number": "910-642-0564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITEVILLE CITY SCHOOLS",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "GLENDA",
"authorized_official_title_or_position": "EC DIRECTOR",
"authorized_official_telephone_number": "910-914-4161",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "DIRECTOR"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "2655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8600061",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whiteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.