Individual provider Active NPI

Stephanie Perkins McKinney, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Marion, NC
National Provider Identifier
1083990998
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9307 Issued in NC
Practice address
1969 Old Greenlee Rd
Marion, NC 28752-8495
Phone
(828) 559-1119
Fax
(828) 800-9904
NPI assigned
Oct 25, 2011
Last updated
Aug 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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 9307 NC Primary

Addresses

Primary practice location

1969 Old Greenlee Rd
Marion, NC 28752-8495

Mailing address

1969 Old Greenlee Rd
Marion, NC 28752-8495
Phone (828) 559-1119

Other identifiers 1

IdentifierTypeStateIssuer
7413770MedicaidNC

Other names 1

  • Stephanie Marie Perkins Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
9307NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Speech and Hearing Center, Inc. Speech-Language Pathologist Past Accepting new patients
Empower Speech PLLC Speech-Language Pathologist PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1083990998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1969 OLD GREENLEE RD",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287528495",
            "telephone_number": "828-559-1119",
            "fax_number": "828-800-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 OLD GREENLEE RD",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287528495",
            "telephone_number": "828-559-1119",
            "fax_number": "828-800-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "STEPHANIE",
        "middle_name": "PERKINS",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "9307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7413770",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "PERKINS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marion, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.