Active NPI
Dathan Rush, M.A., CCC-SLP
- Speech-Language Pathologist
- Morganton, NC
National Provider Identifier
1285865261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5924
- Practice address
- 300 Enola Rd
Morganton, NC 28655-4608 - Phone
- (828) 433-2661
- Fax
- (828) 438-6457
- NPI assigned
- Aug 7, 2009
- Sex
- Male
- 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 | 5924 | NC | Primary |
Addresses
Primary practice location
300 Enola Rd
Morganton, NC 28655-4608
Mailing address
300 Enola Rd
Morganton, NC 28655-4608
Phone (828) 433-2661
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 |
|---|---|---|---|
| 5924 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249603200000",
"number": "1285865261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 ENOLA RD",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554608",
"telephone_number": "828-433-2661",
"fax_number": "828-438-6457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 ENOLA RD",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554608",
"telephone_number": "828-433-2661",
"fax_number": "828-438-6457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSH",
"first_name": "DATHAN",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-07",
"last_updated": "2009-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "5924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.