Individual provider Active NPI

Angela Elizabeth Pharr, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Boone, NC
National Provider Identifier
1326073842
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3513 Issued in NC
Practice address
286 Deerfield Forest Pkwy
Boone, NC 28607-8453
Phone
(828) 263-8871
Fax
(828) 263-8898
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 3513 NC Primary

Addresses

Primary practice location

286 Deerfield Forest Pkwy
Boone, NC 28607-8453

Mailing address

286 Deerfield Forest Pkwy
Boone, NC 28607-8453
Phone (828) 263-8871

Other identifiers 4

IdentifierTypeStateIssuer
7467511MedicaidNC
0191TOtherNCBCBS PROVIDER NUMBER
129VROtherNCBCBS PROVIDER NUMBER
7401098MedicaidNC

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

LicenseStateTypeSpecialty
3513NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Speech Therapy Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1326073842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 DEERFIELD FOREST PKWY",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286078453",
            "telephone_number": "828-263-8871",
            "fax_number": "828-263-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 DEERFIELD FOREST PKWY",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286078453",
            "telephone_number": "828-263-8871",
            "fax_number": "828-263-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHARR",
        "first_name": "ANGELA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7467511",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0191T",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "129VR",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7401098",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.