Organization Active NPI

Appalachian Mountain Therapy, PLLC

  • Speech-Language Pathologist
  • Waynesville, NC
National Provider Identifier
1083169817
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8908 Issued in NC
Legal business name
APPALACHIAN MOUNTAIN THERAPY, PLLC
Practice address
46 S Main St
Waynesville, NC 28786-6701
Phone
(828) 550-2427
NPI assigned
Aug 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Mrs. Kaylan Willis Evans, MS CCC-SLP
Title
Practice Owner
Phone
(828) 550-2427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 8908 NC Primary

Addresses

Primary practice location

46 S Main St
Waynesville, NC 28786-6701

Mailing address

46 S Main St
Waynesville, NC 28786-6701
Phone (828) 550-2427

Other identifiers 1

IdentifierTypeStateIssuer
1497177000MedicaidNC

National Provider Directory

National Provider Directory

Locations

46 S Main St
Waynesville, NC 28786
Phone (828) 246-6600

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1083169817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 S MAIN ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287866701",
            "telephone_number": "828-550-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 S MAIN ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287866701",
            "telephone_number": "828-550-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN MOUNTAIN THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KAYLAN",
        "authorized_official_middle_name": "WILLIS",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "828-550-2427",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497177000",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.