NPIMap

Organization Active NPI

Communication 360 LLC

  • Speech-Language Pathologist
  • Knightdale, NC
National Provider Identifier
1205063138
Registry record updated Dec 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6914 Issued in NC
Legal business name
COMMUNICATION 360 LLC
Practice address
742 McKnight Dr
Suite 221
Knightdale, NC 27545-7764
Phone
(919) 771-6830
Fax
(888) 422-2757
NPI assigned
Jun 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2011

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

Authorized official

Name
Ms. Opal Dionne Williams, M.ED. CCC-SLPNPI 1245389279
Title
Speech-Language Pathologist/Owner
Phone
(919) 771-6830

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 6914 NC Primary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 4240 SC
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 19026 CA

Addresses

Primary practice location

742 McKnight Dr
Suite 221
Knightdale, NC 27545-7764

Mailing address

PO Box 29
Knightdale, NC 27545-0029
Phone (919) 771-6830

Other identifiers 1

IdentifierTypeStateIssuer
7200283MedicaidNC

National Provider Directory

National Provider Directory

Locations

742 McKnight Dr
Ste 221
Knightdale, NC 27545
Phone (919) 771-6830

Practitioners & affiliated clinicians

Practitioners 1

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": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325289600000",
    "number": "1205063138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275450029",
            "telephone_number": "919-771-6830",
            "fax_number": "888-422-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 MCKNIGHT DR",
            "address_2": "SUITE 221",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457764",
            "telephone_number": "919-771-6830",
            "fax_number": "888-422-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNICATION 360 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2011-12-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "OPAL",
        "authorized_official_middle_name": "DIONNE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "919-771-6830",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6914",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4240",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19026",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200283",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2011; 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.