Makenzie Rae Parks

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14818 Issued in NC

Practice address

325 Sound Rd
Holly Ridge, NC 28445-7813

Phone

(910) 541-3636

NPI assigned

Apr 19, 2023

Last updated

Apr 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coastline Therapy Group, LLC

  • Speech-Language Pathologist
  • Wilmington, NC
  • NPI 1730681388
  Medicare reassignment NPD
• Raise the Bar Therapy Services

  • Multi-Specialty Clinic/Center
  • Hampstead, NC
  • NPI 1023486602

  Speech-Language Pathologist

  Medicare reassignment NPD
• Coastal Speech and Reading Center

  • Speech-Language Pathologist
  • Lumberton, NC
  • NPI 1649626466
  NPD (past)
• Ivyrehab North Carolina LLC

  • Physical Medicine & Rehabilitation Physician
  • Charlotte, NC
  • NPI 1528683935
  NPD (past)

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1245927250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SOUND RD",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284457813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SOUND RD",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284457813",
            "telephone_number": "910-541-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "MAKENZIE",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "14818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Sherman Mitchell, SLP
• Rebecca Batts Moore, RDH
• Ashley Marie Moreira, D.C.
• Preslie Nixon
• Savannah Lynn Nosal
• Alexis Passingham
• Penslow Health Clinic Inc (Penslow Medical Center)
• Penslow Pharmacy
• Pinewood Harbor, LLC
• Riccobene & Associates I, DDS, P.a. (Riccobene Associates Family Dentistry- Holly Ridge)

• Speech-Language Pathologist in Holly Ridge, NC
• Providers in Holly Ridge, 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 Apr 21, 2026; 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.