Active NPI
Sibyl Deanna Sumpter, M.S. CCC-SLP
- Speech-Language Pathologist
- Durham, NC
National Provider Identifier
1215256037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3255
- Practice address
- 115 Barnhill St
Durham, NC 27707-4028 - Phone
- (919) 824-7257
- Fax
- (919) 572-0480
- NPI assigned
- May 18, 2010
- Last updated
- May 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 3255 | NC | Primary |
Addresses
Primary practice location
115 Barnhill St
Durham, NC 27707-4028
Mailing address
600 Audubon Lake Dr
Unit 10C32
Durham, NC 27713-8530
Phone (919) 572-0480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7401065 | Medicaid | NC |
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 |
|---|---|---|---|
| 3255 | NC | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274140800000",
"number": "1215256037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 AUDUBON LAKE DR",
"address_2": "UNIT 10C32",
"city": "DURHAM",
"state": "NC",
"postal_code": "277138530",
"telephone_number": "919-572-0480",
"fax_number": "919-572-0480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 BARNHILL ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277074028",
"telephone_number": "919-824-7257",
"fax_number": "919-572-0480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMPTER",
"first_name": "SIBYL",
"middle_name": "DEANNA",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-18",
"last_updated": "2010-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "3255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7401065",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.