Active NPI
Anpin Ni
- Speech-Language Pathologist
- Fayetteville, NC
National Provider Identifier
1114665874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30000650
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 30000650 | NC | MD | Speech-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.