Individual provider Active NPI

Vanessa Pires, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Beulaville, NC
National Provider Identifier
1144995408
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
160 N NC 241 Hwy
Beulaville, NC 28518-8636
Phone
(888) 258-6905
NPI assigned
Aug 10, 2021
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

160 N NC 241 Hwy
Beulaville, NC 28518-8636

Mailing address

160 N NC 241 Hwy
Beulaville, NC 28518-8636
Phone (914) 921-2600

Other practice location 1

150 Purchase St Ste 9
Rye, NY 10580-2143
Phone (914) 921-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221021001897 NC Practitioner - Qualified Speech Language Pathologist 1153797790 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Rye Therapies of OT, PT & SLP, PLLC Speech-Language Pathologist CurrentSince Jul 24, 2022 Accepting new patients
Coastal Speech Therapy Inc Speech-Language Pathologist CurrentSince Aug 29, 2022 Accepting new patients

Locations

124 E Park Dr
Beulaville, NC 28518
Phone (888) 258-6905

160 N NC 241 Hwy
Beulaville, NC 28518
Phone (888) 258-6905

150 Purchase St
Ste 9
Rye, NY 10580
Phone (914) 921-0333

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1144995408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N NC 241 HWY",
            "city": "BEULAVILLE",
            "state": "NC",
            "postal_code": "285188636",
            "telephone_number": "914-921-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N NC 241 HWY",
            "city": "BEULAVILLE",
            "state": "NC",
            "postal_code": "285188636",
            "telephone_number": "888-258-6905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Purchase St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Rye",
            "state": "NY",
            "postal_code": "105802143",
            "country_code": "US",
            "telephone_number": "914-921-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIRES",
        "first_name": "VANESSA",
        "name_prefix": "Miss",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beulaville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.