Active NPI
Julia Shingleton, M.S., SLP
- Speech-Language Pathologist
- Clayton, NC
National Provider Identifier
1205619905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30002633
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 30002633 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abil-OT | Speech-Language Pathologist | Current | 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.