Active NPI
Amy Balfour
- Speech-Language Pathologist
- Fuquay Varina, NC
National Provider Identifier
1336356948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7662
- Practice address
- 304 Judd Place Dr
Fuquay Varina, NC 27526-2386 - Phone
- (248) 298-9868
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 7662 | NC | Primary |
Addresses
Primary practice location
304 Judd Place Dr
Fuquay Varina, NC 27526-2386
Mailing address
1692 Maizefield LN
Fuquay Varina, NC 27526-7593
Phone (248) 298-9868
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7662 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427155200000",
"number": "1336356948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1692 MAIZEFIELD LN",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275267593",
"telephone_number": "248-298-9868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 JUDD PLACE DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262386",
"telephone_number": "248-298-9868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALFOUR",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2015-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.