Janine Pearson, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12744 Issued in NC

Practice address

832 Keith Rd
Wake Forest, NC 27587-9816

Phone

(925) 518-9426

NPI assigned

May 7, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Cognitive Rehabilitation Services

  • Speech-Language Pathologist
  • Wake Forest, NC
  • NPI 1912559287

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1124517909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 KEITH RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879816",
            "telephone_number": "925-518-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 KEITH RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879816",
            "telephone_number": "925-518-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JANINE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Pavlak, LCMHC, LCAS
• Leslie Payne, MSW, LCSWA
• PC Consultants
• Megan Evans Pearce
• Tracie Lanae Pearsall
• Pediatrician'S Urgent Care
• Matthew Robert Pedone
• Peninsula Biomedical Inc
• Julie Marie Penner, PHARMD
• Madeline Mae Pennington, LCSWA

• Speech-Language Pathologist in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.