Speechfundamentals PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPEECHFUNDAMENTALS PLLC

Practice address

113 Vance St
Pembroke, NC 28372-4505

Phone

(910) 733-5820

Fax

(910) 521-5505

NPI assigned

May 31, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Katrina Locklear Brewington, M.EDNPI 1386953610

Title

Owner

Phone

(910) 733-5820

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katrina L. Brewington, SPEECH LANGUAGE PATH

  • Speech-Language Pathologist
  • Lumberton, NC
  • NPI 1386953610
  Medicare reassignment NPD Authorized official
• Tara Deese, SLP

  • Speech-Language Pathologist
  • Pembroke, NC
  • NPI 1316725393
  NPD

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1235490798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 VANCE ST",
            "address_2": "P.O. BOX 3465",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283724505",
            "telephone_number": "910-733-5820",
            "fax_number": "910-521-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 VANCE ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283724505",
            "telephone_number": "910-733-5820",
            "fax_number": "910-521-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECHFUNDAMENTALS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "BREWINGTON",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "LOCKLEAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-733-5820",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7413666",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Grace Home Health Care Agency LLC
• Jessica Leigh Spaulding, LCSW
• Sabrina L Spaulding
• Speech N Progress Inc
• Speech N Progress, Inc.
• Hal Jarrett Stephens
• Matthew Lee Stephens, DDS
• Amy Dawn Strickland, FNP-C
• Sierra Jo Strickland, MSW, LCSW-A
• Jessica Oxendine Strong

• Speech-Language Pathologist in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.