Angela Carbonaro

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

404 Armour St
Davidson, NC 28036-6905

Phone

(704) 897-8061

Fax

(704) 896-2025

NPI assigned

Mar 16, 2022

Last updated

Mar 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1073261129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 ARMOUR ST",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280366905",
            "telephone_number": "704-897-8061",
            "fax_number": "704-896-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 ARMOUR ST",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280366905",
            "telephone_number": "704-897-8061",
            "fax_number": "704-896-2025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "565 Griffith St",
            "address_purpose": "LOCATION",
            "city": "Davidson",
            "state": "NC",
            "postal_code": "280369326",
            "country_code": "US",
            "telephone_number": "704-897-8061",
            "fax_number": "704-896-2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARBONARO",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Kristen Burleson, MD
• Burrow Welchel Culp PLLC - 3 (Dogwood Family Dentistry)
• Cindy Lou Butkiewicz, PHARM,D
• Breonna Caldwell, OTR/L
• Aimee Campagna
• Marla Yamileth Carcamo, PA-C
• Carolina Medicorp Enterprises, Inc (Novant Health Express)
• Carolinas Medical Center (Atrium Health Behavioral Health Psychiatry & Counseling Davidson)
• Carolinas Medical Center-Northeast (Ardsley Internal Medicine Renaissance Square)
• Carolinas Medical Center-Northeast (NorthEast Women's Health & Obstetrics at Renaissance)

• Speech-Language Pathologist in Davidson, NC
• Providers in Davidson, 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 Mar 16, 2022; 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.