Individual provider Active NPI

Jamie I Bevill, CCC-SLP

  • Speech-Language Pathologist
  • Durham, NC
National Provider Identifier
1073010161
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12871 Issued in NC
Practice address
1009 Bradburn Dr
Durham, NC 27713-6904
Phone
(919) 228-8094
Fax
(984) 287-7200
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12871 NC Primary

Addresses

Primary practice location

1009 Bradburn Dr
Durham, NC 27713-6904

Mailing address

1009 Bradburn Dr
Durham, NC 27713-6904
Phone (919) 228-8094

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

LicenseStateTypeSpecialty
12871NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Emerge-a Child'S Place, PLLC Speech-Language Pathologist CurrentSince Jul 16, 2023 Accepting new patients
Therapy Smarts TX-Inc PastSince Jul 4, 2021 Accepting new patients
Radiant Moments Pediatric Therapy, PLLC Speech-Language Pathologist PastSince Jan 21, 2022 Accepting new patients
Therapy Smarts Inc Speech-Language Pathologist Past Accepting new patients

Locations

3905 University Dr
Durham, NC 27707
Phone (919) 246-0590

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1073010161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 BRADBURN DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136904",
            "telephone_number": "919-228-8094",
            "fax_number": "984-287-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 BRADBURN DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136904",
            "telephone_number": "919-228-8094",
            "fax_number": "984-287-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVILL",
        "first_name": "JAMIE",
        "middle_name": "I",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.