Individual provider Active NPI

Christine Dawn Thompson, MA, CCC-SLP

  • Speech-Language Pathologist
  • Asheville, NC
National Provider Identifier
1124067764
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13006 Issued in NC
Practice address
167 Virginia Ave
Asheville, NC 28806-3217
Phone
(425) 495-2554
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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 LL00003915 WA
Speech-Language Pathologist 235Z00000X 13006 NC Primary

Addresses

Primary practice location

167 Virginia Ave
Asheville, NC 28806-3217

Mailing address

167 Virginia Ave
Asheville, NC 28806-3217
Phone (425) 495-2554

Other names 1

  • Christine Roberts 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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
13006NCMDSpeech-Language Pathologist
LL00003915WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Playtalkgrow, LLC Speech-Language Pathologist CurrentSince May 16, 2021 Accepting new patients
Kelley a. Ford, Ms, CCC-SLP, PS Speech-Language Pathologist Past Accepting new patients
Lynnwood Speech & Language Services Speech-Language Pathologist Past Accepting new patients

Locations

18 Regent Park Blvd
Ste A
Asheville, NC 28806
Phone (828) 505-1762

Organizations & group practices 3

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1124067764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 VIRGINIA AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063217",
            "telephone_number": "425-495-2554",
            "fax_number": "425-582-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 VIRGINIA AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063217",
            "telephone_number": "425-495-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CHRISTINE",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003915",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "ROBERTS",
            "credential": "MA, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.