Individual provider Active NPI

Megan Schreckengost, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Wilmington, NC
National Provider Identifier
1114200086
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13275 Issued in NC
Practice address
4130 Oleander Dr
Wilmington, NC 28403-6843
Phone
(910) 679-8385
Fax
(910) 679-8387
NPI assigned
Sep 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL010441 PA
Speech-Language Pathologist 235Z00000X 13275 NC Primary

Addresses

Primary practice location

4130 Oleander Dr
Wilmington, NC 28403-6843

Mailing address

814 N 3Rd St Apt 226
Wilmington, NC 28401-3578

Other practice location 1

17083 Route 6
Smethport, PA 16749-4025
Phone (814) 887-5601

Other practice location 2

3505 Converse Dr
Wilmington, NC 28403-6131
Phone (724) 713-7656

Other names 1

  • Ms. Megan Sevick 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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SL010441PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Speech and Reading Center Speech-Language Pathologist PastSince Nov 26, 2019 Accepting new patients

Organizations & group practices 1

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": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1114200086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 N 3RD ST APT 226",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036843",
            "telephone_number": "910-679-8385",
            "fax_number": "910-679-8387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17083 Route 6",
            "address_purpose": "LOCATION",
            "city": "Smethport",
            "state": "PA",
            "postal_code": "167494025",
            "country_code": "US",
            "telephone_number": "814-887-5601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3505 Converse Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284036131",
            "country_code": "US",
            "telephone_number": "724-713-7656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHRECKENGOST",
        "first_name": "MEGAN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010441",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "SEVICK",
            "prefix": "MS.",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.