Active NPI
Gainey & Roverato Therapeutic Services
- Speech-Language Pathologist
- Raeford, NC
National Provider Identifier
1124489315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7297
- Legal business name
- GAINEY & ROVERATO THERAPEUTIC SERVICES
- Practice address
- 261 Tadcaster CT
Raeford, NC 28376-6623 - Phone
- (919) 423-0465
- NPI assigned
- Mar 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Charisse N. Gainey, MED, CCC-SLP
- Title
- Speech-Language Pathologist
- Phone
- (919) 423-0465
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7297 | NC | Primary |
| Speech-Language Pathologist | 235Z00000X | 7513 | NC |
Addresses
Primary practice location
261 Tadcaster CT
Raeford, NC 28376-6623
Mailing address
261 Tadcaster CT
Raeford, NC 28376-6623
Phone (919) 423-0465
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458691200000",
"number": "1124489315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 TADCASTER CT",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283766623",
"telephone_number": "919-423-0465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 TADCASTER CT",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283766623",
"telephone_number": "919-423-0465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAINEY & ROVERATO THERAPEUTIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-15",
"last_updated": "2016-03-23",
"status": "A",
"authorized_official_last_name": "GAINEY",
"authorized_official_first_name": "CHARISSE",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "919-423-0465",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MED, CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7297",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7513",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raeford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.