Amy Caroline Deal, MS, CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12349 Issued in NC

Practice address

510 Carpenter Ave
Mooresville, NC 28115-2512

Phone

(704) 663-2151

Fax

(704) 663-2730

NPI assigned

Jun 21, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Speakability, Inc.

  • Speech-Language Pathologist
  • Mooresville, NC
  • NPI 1548233471
  NPD (past)

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498003200000",
    "number": "1174043103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 MONTE VISTA RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286252327",
            "telephone_number": "704-500-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CARPENTER AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152512",
            "telephone_number": "704-663-2151",
            "fax_number": "704-663-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAL",
        "first_name": "AMY",
        "middle_name": "CAROLINE",
        "credential": "MS, CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynn Davis, LCMHC
• Paul C Davis, D.C.
• Tara Day
• Ivy Geralyn De Leon, PMHNP-BC, FNP-C
• Laura Autumn De Leon
• Kristine Marie Deboer, D.C.
• Deconstruct2Reconstruct
• Dedicated Home Services (Interim HealthCare of the Carolinas)
• Dedicated Home Services Inc (Interim HealthCare of the Carolinas)
• Dana R Degan, RDN

• Speech-Language Pathologist in Mooresville, NC
• Providers in Mooresville, 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 Jun 21, 2017; 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.