Active NPI
Crystal Brevard Norton, M.A.
- Speech-Language Pathologist
- Kannapolis, NC
National Provider Identifier
1275612129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5451
- Practice address
- 2320 Chantilly CT
Kannapolis, NC 28081-7137 - Phone
- (704) 935-4727
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5451 | NC | Primary |
Addresses
Primary practice location
2320 Chantilly CT
Kannapolis, NC 28081-7137
Mailing address
2320 Chantilly CT
Kannapolis, NC 28081-7137
Phone (704) 935-4727
Other names 1
- Ms. Crystal Lee Brevard
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5451 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275612129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 CHANTILLY CT",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280817137",
"telephone_number": "704-935-4727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 CHANTILLY CT",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280817137",
"telephone_number": "704-935-4727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTON",
"first_name": "CRYSTAL",
"middle_name": "BREVARD",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "5451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "BREVARD",
"middle_name": "LEE",
"prefix": "MS.",
"credential": "M.A.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kannapolis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.