Individual provider Active NPI

Julia Shingleton, M.S., SLP

  • Speech-Language Pathologist
  • Clayton, NC
National Provider Identifier
1205619905
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30002633 Issued in NC
Practice address
11183 US 70 Bus Hwy W
Clayton, NC 27520-2364
Phone
(919) 243-2201
NPI assigned
Aug 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 30002633 NC Primary

Addresses

Primary practice location

11183 US 70 Bus Hwy W
Clayton, NC 27520-2364

Mailing address

39 Wood Stork CT
Clayton, NC 27520-4178
Phone (919) 912-2030

Other practice location 1

101 E Market St Ste 3B
Smithfield, NC 27577-3981
Phone (919) 243-2201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
30002633NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Abil-OT Speech-Language Pathologist CurrentSince Aug 1, 2023 Accepting new patients

Locations

101 E Market St
Ste 3B
Smithfield, NC 27577
Phone (919) 243-2201

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1205619905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WOOD STORK CT",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275204178",
            "telephone_number": "919-912-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11183 US 70 BUS HWY W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202364",
            "telephone_number": "919-243-2201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Market St Ste 3B",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275773981",
            "country_code": "US",
            "telephone_number": "919-243-2201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINGLETON",
        "first_name": "JULIA",
        "credential": "M.S., SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30002633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.