Active NPI
Jennifer Dilallo Haab, M.S., CCC-SLP
- Speech-Language Pathologist
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30001312
- Practice address
- 5308 Seaspray LN
Raleigh, NC 27610-5781 - Phone
- (314) 885-4812
- NPI assigned
- Apr 3, 2020
- Last updated
- Jul 11, 2026
- 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 | 30001312 | NC | Primary |
Addresses
Primary practice location
5308 Seaspray LN
Raleigh, NC 27610-5781
Mailing address
5308 Seaspray LN
Raleigh, NC 27610-5781
Phone (314) 885-4812
Other names 1
- Jennifer Dilallo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
141 N Main St
Fuquay Varina, NC 27526-1933
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA21655 | FL | MD | Speech-Language Pathologist |
| 30001312 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capitol City Speech Therapy, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
141 N Main St
Fuquay Varina, NC 27526
Phone (919) 577-6807
6845 Knightdale Blvd
Ste 102
Knightdale, NC 27545
Phone (919) 577-6807
1330 Saint Marys St
Ste 100
Raleigh, NC 27605
Phone (919) 577-6807
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Austin, TX
- NPI 1649875857
FL, NC
-
- Speech-Language Pathologist
- Fuquay Varina, NC
- NPI 1689755241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783728000000",
"number": "1215566039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5308 SEASPRAY LN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276105781",
"telephone_number": "314-885-4812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5308 SEASPRAY LN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276105781",
"telephone_number": "314-885-4812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAB",
"first_name": "JENNIFER",
"middle_name": "DILALLO",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-03",
"last_updated": "2026-07-11",
"certification_date": "2026-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30001312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "DILALLO",
"credential": "M.S., CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.