Outer Banks Speech and Language PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7041 Issued in NC

Legal business name

OUTER BANKS SPEECH AND LANGUAGE PLLC

Practice address

4814 Lunar Dr
Kitty Hawk, NC 27949-3937

Phone

(252) 216-5746

Fax

(252) 216-5746

NPI assigned

Jun 3, 2007

Last updated

Mar 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tammy Sue Odell, MA CCC SLPNPI 1457592891

Title

Speech Language Pathologist

Phone

(252) 216-5746

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tammy Sue Odell, MA CCC/SLP

  • Speech-Language Pathologist
  • Kitty Hawk, NC
  • NPI 1457592891
  NPD (past) Authorized official

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204329600000",
    "number": "1356543250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 LUNAR DR",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493937",
            "telephone_number": "252-216-5746",
            "fax_number": "252-216-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4814 LUNAR DR",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493937",
            "telephone_number": "252-216-5746",
            "fax_number": "252-216-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTER BANKS SPEECH AND LANGUAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-03",
        "last_updated": "2008-03-01",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "252-216-5746",
        "authorized_official_credential": "MA CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edna Rothman Mullally, DNP, FNP-C
• Obx Optix Optometric, PLLC
• Obxmd, P.C.
• Tammy Sue Odell, MA CCC/SLP
• Outer Banks Physical Therapy, LLC
• Ashley Parham, DMD
• Justin Parker, LCAS-A, LCMHC-A
• Benjamin Perkins, PHARMD
• Carol A Pilote, FNP-C
• Jeffrey A Ray, MD

• Speech-Language Pathologist in Kitty Hawk, NC
• Providers in Kitty Hawk, 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 1, 2008; 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.