Organization Active NPI

Nancy Demeter McCall

  • Speech-Language Pathologist
  • Goldsboro, NC
National Provider Identifier
1194806562
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1253 Issued in NC
Legal business name
NANCY DEMETER MCCALL
Practice address
205 Glen Oak Dr
Goldsboro, NC 27534-1705
Phone
(919) 734-1773
Fax
(919) 580-0023
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Nancy Demeter McCall, SLPNPI 1710953096
Title
Sole Proprietor
Phone
(919) 734-1773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 1253 NC Primary

Addresses

Primary practice location

205 Glen Oak Dr
Goldsboro, NC 27534-1705

Mailing address

205 Glen Oak Dr
Goldsboro, NC 27534-1705
Phone (919) 734-1773

Other identifiers 1

IdentifierTypeStateIssuer
7211590MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194806562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GLEN OAK DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341705",
            "telephone_number": "919-734-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GLEN OAK DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341705",
            "telephone_number": "919-734-1773",
            "fax_number": "919-580-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY DEMETER MCCALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "DEMETER",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "919-734-1773",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211590",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.