Susan Purviance, MSED, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

13215 Issued in NC

Practice address

105 Waxhaw Professional Park Dr Ste a
Waxhaw, NC 28173-5018

Phone

(704) 627-4027

Fax

(704) 684-4644

NPI assigned

Sep 20, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Happy Kids Therapy

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1528628823
  NPD (past)
• Queen City Therapy, PLLC

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1154813681

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1245548528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WAXHAW PROFESSIONAL PARK DR STE A",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281735018",
            "telephone_number": "704-627-4027",
            "fax_number": "704-684-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WAXHAW PROFESSIONAL PARK DR STE A",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281735018",
            "telephone_number": "704-627-4027",
            "fax_number": "704-684-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIANCE",
        "first_name": "SUSAN",
        "credential": "MSED, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "9156",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13215",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015604-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Pruss
• Sunita Sarin Przybylo, MD
• Michelle Cox Psyk, MACCCSLP
• Karen Puopolo, OTR/L
• Pure Cardiology, PLLC
• Jennifer H. Quade, LCMHC
• Douglas Taylor Rainwater, PHARMD
• Aspasia Ralli-Koukoutsis, MS
• Ratliff Integrative Medicine, PLLC
• Melissa H Ratliff, MD

• Speech-Language Pathologist in Waxhaw, NC
• Providers in Waxhaw, 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 Mar 19, 2025; 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.