Individual provider Active NPI

Nell Gardenhire Royal, M.A.-CCC/SLP

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1316130628
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7167 Issued in NC
Practice address
11026 Amberglades LN
Charlotte, NC 28215-8608
Phone
(704) 491-2068
NPI assigned
Aug 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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 7167 NC Primary

Addresses

Primary practice location

11026 Amberglades LN
Charlotte, NC 28215-8608

Mailing address

11026 Amberglades LN
Charlotte, NC 28215-8608
Phone (704) 491-2068

Other names 1

  • Ms. Nell Rashawn Gardenhire Former name

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

State licenses

LicenseStateTypeSpecialty
7167NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1316130628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11026 AMBERGLADES LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282158608",
            "telephone_number": "704-491-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11026 AMBERGLADES LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282158608",
            "telephone_number": "704-491-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYAL",
        "first_name": "NELL",
        "middle_name": "GARDENHIRE",
        "name_prefix": "Ms.",
        "credential": "M.A.-CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NELL",
            "last_name": "GARDENHIRE",
            "middle_name": "RASHAWN",
            "prefix": "MS.",
            "credential": "M.A.-CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.