Pamela Susan Manser, M.A.-CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4057 Issued in NC

Practice address

484 Williamson Rd Ste 102
Mooresville, NC 28117-8191

Phone

(704) 746-9698

NPI assigned

Aug 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lake Norman Communication Services, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Mooresville, NC
  • NPI 1467908368

  Speech-Language Pathologist

  NPD Authorized official

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1124574140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 WILLIAMSON RD STE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178191",
            "telephone_number": "704-746-9698",
            "fax_number": "704-662-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 WILLIAMSON RD STE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178191",
            "telephone_number": "704-746-9698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Sago Ln",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281174369",
            "country_code": "US",
            "telephone_number": "704-746-9698 x2000",
            "fax_number": "704-662-3304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "364 S Highway 16 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Stanley",
            "state": "NC",
            "postal_code": "281648702",
            "country_code": "US",
            "telephone_number": "704-746-9698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1669 Norwood Rd",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286778201",
            "country_code": "US",
            "telephone_number": "704-746-9698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSER",
        "first_name": "PAMELA",
        "middle_name": "SUSAN",
        "credential": "M.A.-CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "4057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13882320",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tetiana Malkova
• Stephen James Malloney, D.O.
• Mamis Home Care
• Madison Brooke Mancino, PA-C
• Manisha Desai Patel
• Khaled Mansour, MD
• Janice K. Marine, LCSW
• Sheryl Marinelli, LPC
• Maureen Susan Marquie, PT, DPT
• Brendan M Marr, MD

• All providers in Mooresville, NC
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.