Carolina Communication and Dysphagia

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAROLINA COMMUNICATION AND DYSPHAGIA

Practice address

192 Long Farm Rd
Garysburg, NC 27831-9750

Phone

(252) 578-8978

Fax

(252) 541-2062

NPI assigned

May 9, 2022

Organization subpart

No

Name

Cassandra WadeNPI 1053743237

Title

Owner/SLP

Phone

(252) 578-8978

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cassandra Wade, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • Garysburg, NC
  • NPI 1053743237
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2023.

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1356087787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161",
            "city": "SCOTLAND NECK",
            "state": "NC",
            "postal_code": "278740161",
            "telephone_number": "252-578-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 LONG FARM RD",
            "city": "GARYSBURG",
            "state": "NC",
            "postal_code": "278319750",
            "telephone_number": "252-578-8978",
            "fax_number": "252-541-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COMMUNICATION AND DYSPHAGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "252-578-8978"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Garysburg, NC
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.