Individual provider Active NPI

Anpin Ni

  • Speech-Language Pathologist
  • Fayetteville, NC
National Provider Identifier
1114665874
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30000650 Issued in NC
Practice address
1708 Owen Dr
Professional Early Intervention Services
Fayetteville, NC 28304-2830
Phone
(984) 244-4773
NPI assigned
May 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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 30000650 NC Primary

Addresses

Primary practice location

1708 Owen Dr
Professional Early Intervention Services
Fayetteville, NC 28304-2830

Mailing address

942 Stewarts Creek Dr Apt 7
Fayetteville, NC 28314-4100
Phone (984) 244-4773

Other practice location 1

942 Stewarts Creek Dr Apt 7
Fayetteville, NC 28314-4100
Phone (984) 244-4773

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

State licenses

LicenseStateTypeSpecialty
30000650NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1114665874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 STEWARTS CREEK DR APT 7",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283144100",
            "telephone_number": "984-244-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 OWEN DR",
            "address_2": "PROFESSIONAL EARLY INTERVENTION SERVICES",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042830",
            "telephone_number": "984-244-4773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "942 Stewarts Creek Dr Apt 7",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283144100",
            "country_code": "US",
            "telephone_number": "984-244-4773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NI",
        "first_name": "ANPIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-06-03",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30000650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.