Organization Active NPI

Coastal Speech Therapy Solutions, PLLC

  • Speech-Language Pathologist
  • Belvidere, NC
National Provider Identifier
1285140590
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
COASTAL SPEECH THERAPY SOLUTIONS, PLLC
Practice address
166 Joppa Rd
Belvidere, NC 27919
Phone
(252) 325-8810
NPI assigned
Dec 21, 2017
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Lynette SawyerNPI 1346371366
Title
Owner
Phone
(252) 331-3467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

166 Joppa Rd
Belvidere, NC 27919

Mailing address

PO Box 130
Hobbsville, NC 27946-0130

Other practice location 1

402 Bagley Swamp Rd
Hertford, NC 27944-8709
Phone (252) 325-8810

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211008002311 NC Part B Supplier - Clinic/Group Practice 8729486550 Receives reassigned benefits from 1 practitioner
Practice locations: Belvidere, NC; Hertford, NC

National Provider Directory

National Provider Directory

Locations

402 Bagley Swamp Rd
Hertford, NC 27944
Phone (252) 325-8810

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1285140590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "HOBBSVILLE",
            "state": "NC",
            "postal_code": "279460130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 JOPPA RD",
            "city": "BELVIDERE",
            "state": "NC",
            "postal_code": "27919",
            "telephone_number": "252-325-8810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 Bagley Swamp Rd",
            "address_purpose": "LOCATION",
            "city": "Hertford",
            "state": "NC",
            "postal_code": "279448709",
            "country_code": "US",
            "telephone_number": "252-325-8810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL SPEECH THERAPY SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-331-3467"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belvidere, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.