Susan M Walters, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7056 Issued in NC

Practice address

1301 Rolling Hills CT
Concord, NC 28025-9148

Phone

(704) 787-0224

NPI assigned

Apr 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Integrated Therapies

  • Speech-Language Pathologist
  • Concord, NC
  • NPI 1023467388
  NPD (past) Authorized official
• Pediatric Therapeutic Coaching

  • Speech-Language Pathologist
  • Concord, NC
  • NPI 1346647799
  NPD (past) Authorized official

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1346204708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 ROLLING HILLS CT",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280259148",
            "telephone_number": "704-787-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ROLLING HILLS CT",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280259148",
            "telephone_number": "704-787-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412485",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS",
            "identifier": "141UK",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie Leanne Walsh, MSE, RD, LDN
• Charlene M Walsh, PA-C
• Vanessa M Walter, LCSWA
• Kelsey Nicole Walters, LCMHCA
• Shanna M Walters, DNP-FNP-BC
• Brian Scott Walther, D.O.
• Michelle Xinyi Wang Nesdill, PHARMD
• Tracy Wangui
• Waning Waistlines LLC
• Devin Wansley

• Speech-Language Pathologist in Concord, NC
• Providers in Concord, 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 Dec 1, 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.