Eidson Speech and Language Services

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

5062 Issued in NC

Legal business name

EIDSON SPEECH AND LANGUAGE SERVICES

Practice address

600 Mayfair Dr
Rocky Mount, NC 27803-1180

Phone

(252) 382-1480

Fax

(252) 443-7554

NPI assigned

Jan 2, 2009

Organization subpart

No

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

Authorized official

Name

Stacy C. Eidson, M.S., CCC/SLPNPI 1629255054

Title

Owner

Phone

(252) 382-1480

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Corey Eidson, M.S., CCC/SLP

  • Speech-Language Pathologist
  • Rocky Mount, NC
  • NPI 1629255054
  NPD (past) Authorized official

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1104062710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAYFAIR DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278031180",
            "telephone_number": "252-382-1480",
            "fax_number": "252-443-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAYFAIR DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278031180",
            "telephone_number": "252-382-1480",
            "fax_number": "252-443-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EIDSON SPEECH AND LANGUAGE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "EIDSON",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-382-1480",
        "authorized_official_credential": "M.S., CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NC",
            "license": "5062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Educare Community Living Corporation North Carolina
• Educare Community Living Corporation North Carolina
• Edwards Enterprises Inc (Edwards Residential Care)
• Carolyn Robards Eggers, M.A., C.A.S.
• Nelson Richard Ehly, P.A.
• Stacy Corey Eidson, M.S., CCC/SLP
• Elizabeth E Miller DDS Ms PA (Rocky Mount Pediatric Dentistry)
• Jonta Elliott
• Willard Jackson Ellis Jr., DDS
• Randa Ibrahim Elsayed, MASTER'S DEGREE

• Hearing and Speech Clinic/Center in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Hearing and Speech Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.