Active NPI
Megan Radford
- Speech-Language Pathologist
- Henderson, NC
National Provider Identifier
1114760824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30003068
- Practice address
- 104 Market St
Henderson, NC 27537-3751 - Phone
- (252) 431-4418
- NPI assigned
- Jun 18, 2024
- Sex
- Female
- 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 | 30003068 | NC | Primary |
Addresses
Primary practice location
104 Market St
Henderson, NC 27537-3751
Mailing address
2743 Clifton Ave
Creedmoor, NC 27522-9511
Phone (919) 691-5840
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 |
|---|---|---|---|
| 30003068 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Specialties of North Carolina, PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
104 Market St
Henderson, NC 27537
Phone (252) 431-4418
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.
-
- Community/Behavioral Health Agency
- Henderson, NC
- NPI 1720381395
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1114760824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2743 CLIFTON AVE",
"city": "CREEDMOOR",
"state": "NC",
"postal_code": "275229511",
"telephone_number": "919-691-5840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 MARKET ST",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275373751",
"telephone_number": "252-431-4418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADFORD",
"first_name": "MEGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-18",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30003068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NC
- Private Diagnostic Clinic, PLLC (Duke Orthopedics of Vance County)
- Prodigious Counseling Services, LLC
- Professional Group Living, LLC
- Kendra Briann Pruitt, LCSW, MSW
- Lara Quinlivan, PA
- Vincent Lee Ragland Sr.
- Rainbow Tree
- Jacquetta Taisha Randall, M.D.
- Range of Motion (Piedmont Prosthetics and Orthotics)
- Kirby Jerel Ransom, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.