Active NPI
Natasha Suzanne Homan, CCC-SLP
- Speech-Language Pathologist
- Charlotte, NC
National Provider Identifier
1063479822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5551
- Practice address
- 4421 Stuart Andrew Blvd
Charlotte, NC 28217-1589 - Phone
- (980) 343-6960
- NPI assigned
- Apr 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5551 | NC | Primary |
Addresses
Primary practice location
4421 Stuart Andrew Blvd
Charlotte, NC 28217-1589
Mailing address
12450 Preservation Pointe Dr
Charlotte, NC 28216-6728
Phone (704) 492-5489
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5551 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1063479822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12450 PRESERVATION POINTE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282166728",
"telephone_number": "704-492-5489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4421 STUART ANDREW BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282171589",
"telephone_number": "980-343-6960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMAN",
"first_name": "NATASHA",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "5551",
"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 Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.