NPIMap

Organization Active NPI

Junebug Speech and Language Therapy, PLLC

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1255002580
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
JUNEBUG SPEECH AND LANGUAGE THERAPY, PLLC
Practice address
211 E Six Forks Rd Ste 219
Raleigh, NC 27609-7755
Phone
(984) 202-8633
Fax
(984) 202-2098
NPI assigned
Sep 27, 2021
Last updated
Dec 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Brittany Anne Edyburn, MA, CCC-SLPNPI 1295319606
Title
Speech-Language Pathologist
Phone
(984) 202-8633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

211 E Six Forks Rd Ste 219
Raleigh, NC 27609-7755

Mailing address

211 E Six Forks Rd Ste 219
Raleigh, NC 27609-7755
Phone (984) 202-8633

National Provider Directory

National Provider Directory

Locations

211 E Six Forks Rd
Ste 219
Raleigh, NC 27609
Phone (919) 834-6864

350 E Six Forks Rd
Ste 150
Raleigh, NC 27609

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1255002580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E SIX FORKS RD STE 219",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097755",
            "telephone_number": "984-202-8633",
            "fax_number": "984-202-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E SIX FORKS RD STE 219",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097755",
            "telephone_number": "984-202-8633",
            "fax_number": "984-202-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNEBUG SPEECH AND LANGUAGE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "EDYBURN",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "984-202-8633",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 21, 2022; 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.