Kerry Marie Sanford, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10115 Issued in NC

Practice address

10030 Edison Square Dr NW
Concord, NC 28027-8308

Phone

(704) 499-8888

NPI assigned

Sep 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255664900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10030 EDISON SQUARE DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278308",
            "telephone_number": "704-499-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10030 EDISON SQUARE DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278308",
            "telephone_number": "704-499-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "582 Farringdom St",
            "address_2": "#C",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582615",
            "country_code": "US",
            "telephone_number": "910-735-1101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "KERRY",
        "middle_name": "MARIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021907-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "190480914",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255664900",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanders & Co PSS
• Daiunna Sanders, BCBA
• Markee Dionta Sanders
• Susan C Sanders, MD
• Vivienne Sanders
• Lizette Sangster
• Emanuel Santiago Laracuente
• Victoria Lynn Santiago-Coiro, DMD
• Robert Jay Santiago
• McKenna Sarac, LCSW-A

• Speech-Language Pathologist in Concord, NC
• Providers in Concord, 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 Jul 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.