Dawn A Puck, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3818 Issued in NC

Practice address

9606 Bailey Rd Ste 250
Cornelius, NC 28031-6116

Phone

(704) 896-8688

Fax

(704) 896-7975

NPI assigned

Mar 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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

• Jennifer R Plummer

  • Speech-Language Pathologist
  • Cornelius, NC
  • NPI 1699759225
  NPD (past)
• Lake Norman Children'S Therapy I, Inc

  • Speech-Language Pathologist
  • Cornelius, NC
  • NPI 1972383404
  NPD (past)
• Speech Discovery for Kids, Inc.

  • Speech-Language Pathologist
  • Cornelius, NC
  • NPI 1093849341
  NPD (past)

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237507200000",
    "number": "1326289380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9606 BAILEY RD STE 250",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316116",
            "telephone_number": "704-896-8688",
            "fax_number": "704-896-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9606 BAILEY RD STE 250",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316116",
            "telephone_number": "704-896-8688",
            "fax_number": "704-896-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCK",
        "first_name": "DAWN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prism Psychological Services, PC
• Rachel Lynn Pritchard, FNP-BC
• Jordan Marcus Propst, PHARMD.
• Kimella Pryor
• Publix North Carolina LP
• Janae Quick, LMBT #18243
• Megan Quick, PHARMD
• Ellesse Nicole Quijano, PHARMD
• Maria Stella Quintero, LMBT
• R. Gary Hensley, DMD, PA I

• Speech-Language Pathologist in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Speech-Language Pathologist in North Carolina

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

Verify at the official NPI Registry.