Soar Speech Therapy and Consulting, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9913 Issued in NC

Legal business name

SOAR SPEECH THERAPY AND CONSULTING, PLLC

Practice address

521 King Edward Rd
Charlotte, NC 28211-4627

Phone

(858) 354-0453

NPI assigned

Nov 9, 2015

Organization subpart

No

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

Authorized official

Name

Colleen Marie Nolan, M.S. CCC-SLPNPI 1265599955

Title

Speech-Language Pathologist

Phone

(858) 354-0453

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Colleen Marie Nolan, CCC-SLP

  • Speech-Language Pathologist
  • Charlotte, NC
  • NPI 1265599955
  NPD (past) Authorized official

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1235502519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 KING EDWARD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 KING EDWARD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114627",
            "telephone_number": "858-354-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAR SPEECH THERAPY AND CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "858-354-0453",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "9913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF EXAMINERS FOR SPEECH AND LANGUAGE PATHOLOGISTS AND AUDIOLOGISTS",
            "identifier": "9913",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Snyder, MSW, LICSW, LCSW
• Rachel Dianne Snyder, NP
• Robert Snyder
• Garrett Evan Soames, PA-C
• Shanel Alysha Soanes
• Frederico Jose Reis Soares
• Amy H. Sobel, M.D.
• Gary Sobel, D.O.
• Joanne Sobolewski, LCSW
• Laurel K Socha, NP

• Speech-Language Pathologist in Charlotte, NC
• Providers in Charlotte, 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 Nov 16, 2015; 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.