Tami S Doherty

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9084 Issued in NC

Practice address

1140 Savannah Ridge Rd, Suite 111
Holly Springs, NC 27540

Phone

(919) 285-2157

Fax

(919) 285-2157

NPI assigned

Mar 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Benefit Therapy Services, PLLC

  • Speech-Language Pathologist
  • Holly Springs, NC
  • NPI 1275994113

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1194857664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 SAVANNAH RIDGE RD, SUITE 111",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275400535",
            "telephone_number": "919-285-2157",
            "fax_number": "919-285-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 SAVANNAH RIDGE RD, SUITE 111",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "27540",
            "telephone_number": "919-285-2157",
            "fax_number": "919-285-2157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Route 530",
            "address_purpose": "LOCATION",
            "city": "Whiting",
            "state": "NJ",
            "postal_code": "087593145",
            "country_code": "US",
            "telephone_number": "732-849-2045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "TAMI",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-11",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00277800",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "9084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Brooke Destefano
• Briana Katherine Dicks, LCMHC-A
• Diverse Healthcare Consultants, PLLC
• Jacqueline Dix
• Matthew Doell
• Katie Domorski, NP
• Donna R B Rogers PLLC
• Dr Dasari DMD PLLC
• Dr. Anita Bhat, PLLC
• Dr. Phillip M. Vito

• Speech-Language Pathologist in Holly Springs, NC
• Providers in Holly Springs, 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 25, 2019; 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.