Penelope Boyette Ragan, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4527 Issued in NC

Practice address

205 Glen Oak Dr
Goldsboro, NC 27534-1705

Phone

(919) 734-1773

Fax

(919) 580-0023

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Penny Boyette Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nancy Demeter McCall

  • Speech-Language Pathologist
  • Goldsboro, NC
  • NPI 1194806562
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1043390891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CALLAWAY CT",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275305543",
            "telephone_number": "919-580-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GLEN OAK DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341705",
            "telephone_number": "919-734-1773",
            "fax_number": "919-580-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGAN",
        "first_name": "PENELOPE",
        "middle_name": "BOYETTE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "4527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7210938",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENNY",
            "last_name": "BOYETTE",
            "prefix": "MISS",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer A. Quinn, M.D.
• Marcie Jean Quinn, PHARM. D.
• Allison Rose Radford, PA-C
• Natalie Ruth Radford
• William H Radford, D.D.S.
• Rai Care Centers of North Carolina II, LLC
• Raiford Homes
• Raleigh Neurosurgical Clinic, Inc.
• Delanah Carattini Ramos
• Raper Brothers, Inc

• Speech-Language Pathologist in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.