Janice Lanette Christenbury

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5196 Issued in NC

Practice address

564 Ridge Ave
Liberty, NC 27298-3604

Phone

(336) 703-8872

Fax

(844) 384-5168

NPI assigned

Nov 6, 2017

Last updated

Dec 14, 2017By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hand Speech Therapy

  • Speech-Language Pathologist
  • Liberty, NC
  • NPI 1912384876
  NPD (past)

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1356854871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 RIDGE AVE",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "272983604",
            "telephone_number": "336-703-8872",
            "fax_number": "844-384-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 RIDGE AVE",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "272983604",
            "telephone_number": "336-703-8872",
            "fax_number": "844-384-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENBURY",
        "first_name": "JANICE",
        "middle_name": "LANETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOY",
            "identifier": "5196",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Edgar Butler Jr., DDS
• Caregivers of Liberty I
• Caregivers of Liberty II
• Carol Lee Family Care Home
• Cawh Rehabilitation Services, LLC. (Cawh Physical Therapy)
• Community Innovations Inc
• Nathan W Conroy, PA-C
• Cozie's Supervised Living Inc
• Cozie's Supervised Living Inc.
• Ashley Brooke Crutchfield, FNP-C

• Speech-Language Pathologist in Liberty, NC
• Providers in Liberty, 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 14, 2017; 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.