Organization Active NPI

Whiteville City Schools

  • Speech-Language Pathologist
  • Whiteville, NC
National Provider Identifier
1043349624
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2655 Issued in NC
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
8600061MedicaidNC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2200666Whiteville City Schools107 West Walter Street, Whiteville, NC 28472Certificate of waiverNov 16, 2026

National Provider Directory

National Provider Directory
Tax ID family
Whiteville City Schools2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.