NPIMap

Organization Active NPI

Pediatric Speech Works, PLLC

  • Speech-Language Pathologist
  • Cary, NC
National Provider Identifier
1174971816
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5208 Issued in NC
Legal business name
PEDIATRIC SPEECH WORKS, PLLC
Practice address
221 SE Maynard Rd
Cary, NC 27511-4509
Phone
(919) 802-2817
Fax
(919) 741-5814
NPI assigned
Jun 2, 2016
Last updated
Jun 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Mrs. Karen Elizabeth Miller, MS, CCC-SLPNPI 1376742510
Title
Owner
Phone
(919) 802-2817

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5208 NC Primary

Addresses

Primary practice location

221 SE Maynard Rd
Cary, NC 27511-4509

Mailing address

221 SE Maynard Rd
Cary, NC 27511-4509
Phone (919) 802-2817

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1174971816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SE MAYNARD RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114509",
            "telephone_number": "919-802-2817",
            "fax_number": "919-741-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SE MAYNARD RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114509",
            "telephone_number": "919-802-2817",
            "fax_number": "919-741-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPEECH WORKS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-802-2817",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.

Verify at the official NPI Registry.