Individual provider Active NPI

Sara Nicole Jinwright, M.ED, CCC SLP

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1255737888
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11147 Issued in NC
Practice address
3803B Computer Drive
Suite 200
Raleigh, NC 27609-6541
Phone
(919) 791-3582
NPI assigned
Nov 10, 2014
Last updated
Nov 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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 11147 NC Primary

Addresses

Primary practice location

3803B Computer Drive
Suite 200
Raleigh, NC 27609-6541

Mailing address

2739 Wyntercrest LN
Durham, NC 27713-4518
Phone (267) 978-0759

Other names 1

  • Niki Hopson Jinwright Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260414002001 NC Practitioner - Qualified Speech Language Pathologist 6406322825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
North Carolina Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevation Rehab, LLCGroup PAC ID 2062814106, 15 clinicians

Practice addresses (Care Compare)

3420 Wake Forest Hwy
Durham, NC 27703-3522
Phone (919) 823-1606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
11147NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Dysphagia and Feeding LLC Speech-Language Pathologist Past Accepting new patients
Raleigh Therapy Services, Inc Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1255737888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2739 WYNTERCREST LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134518",
            "telephone_number": "267-978-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803B COMPUTER DRIVE",
            "address_2": "SUITE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096541",
            "telephone_number": "919-791-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINWRIGHT",
        "first_name": "SARA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "M.ED, CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKI",
            "last_name": "JINWRIGHT",
            "middle_name": "HOPSON",
            "credential": "M.ED, CFY SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.