Richard Slater, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10186 Issued in NC

Practice address

352 East Center Ave
Mooresville, NC 28115-2591

Phone

(704) 663-3448

Fax

(704) 660-5158

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1265558456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12411 MEETINGHOUSE DR",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318243",
            "telephone_number": "412-651-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 EAST CENTER AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152591",
            "telephone_number": "704-663-3448",
            "fax_number": "704-660-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "RICHARD",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL000114L",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NO",
            "identifier": "SL000114L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "10186",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lesa Fritz Sipperly, MSW, LCSW
• Pragya Sitoula, PMHNP
• Stephanie Cate Sittler, M.D.
• Jakub Michal Skowronski, D.M.D.
• Jacob Slagle
• Lori F. Sloan
• Taylor Sloan
• Lindsay Sloop
• Derek James Slovak, D.P.M
• Margaret Ann Small, PA-C

• Speech-Language Pathologist in Mooresville, NC
• Providers in Mooresville, 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 Mar 18, 2015; 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.