Organization Active NPI

Crutchfield Speech & Language

  • Speech-Language Pathologist
  • Greensboro, NC
National Provider Identifier
1205195104
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1991 Issued in NC
Legal business name
CRUTCHFIELD SPEECH & LANGUAGE
Practice address
515 College Rd
Suite 13
Greensboro, NC 27410-5194
Phone
(336) 337-0153
Fax
(336) 297-1333
NPI assigned
May 11, 2012
Last updated
May 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Authorized official

Name
Rebecca CrutchfieldNPI 1164669222
Title
Owner/Speech Pathologist
Phone
(336) 337-0153

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 Pathologist 235Z00000X 1991 NC Primary

Addresses

Primary practice location

515 College Rd
Suite 13
Greensboro, NC 27410-5194

Mailing address

4305 Four Farms Rd
Greensboro, NC 27410-9402

National Provider Directory

National Provider Directory

Locations

515 College Rd
Ste 13
Greensboro, NC 27410
Phone (336) 337-0153

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": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1205195104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 FOUR FARMS RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 COLLEGE RD",
            "address_2": "SUITE 13",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274105194",
            "telephone_number": "336-337-0153",
            "fax_number": "336-297-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUTCHFIELD SPEECH & LANGUAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "CRUTCHFIELD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "336-337-0153"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.