Individual provider Active NPI

Chanelle Elise Tignor, CFY-SLP

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1255093324
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30000153 Issued in NC
Practice address
307 W Tremont Ave Ste 200
Charlotte, NC 28203-4902
Phone
(704) 684-3096
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 30000153 NC Primary

Addresses

Primary practice location

307 W Tremont Ave Ste 200
Charlotte, NC 28203-4902

Mailing address

5350 Pinehurst Park Dr Apt 28211
Charlotte, NC 28211-4915
Phone (704) 684-3096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30000153NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Carolina Feeding and Language Institute Speech-Language Pathologist Current Accepting new patients
Duke University Health System, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Foundation Health Systems LLC Speech-Language Pathologist Past Accepting new patients

Locations

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

Interoperability endpoints

  • Direct secure messaging: ctignor1354266@direct.novanthealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1255093324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 PINEHURST PARK DR APT 28211",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114915",
            "telephone_number": "704-684-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W TREMONT AVE STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034902",
            "telephone_number": "704-684-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGNOR",
        "first_name": "CHANELLE",
        "middle_name": "ELISE",
        "credential": "CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30000153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.