Active NPI
Neethi Priya Vadlamudi, MS (SLP)
- Speech-Language Pathologist
- Raleigh, NC
National Provider Identifier
1376053066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1807161
- Practice address
- 4201 Lake Boone TRL Ste 4
Raleigh, NC 27607-7511 - Phone
- (919) 781-4434
- NPI assigned
- Oct 6, 2017
- 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 | 1807161 | NC | Primary |
Addresses
Primary practice location
4201 Lake Boone TRL Ste 4
Raleigh, NC 27607-7511
Mailing address
2207 Rocky Bay CT
Cary, NC 27519-6690
Phone (336) 618-9681
Other names 1
- Neethi Priya Nara
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1807161 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Associates | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507248000000",
"number": "1376053066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2207 ROCKY BAY CT",
"city": "CARY",
"state": "NC",
"postal_code": "275196690",
"telephone_number": "336-618-9681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 LAKE BOONE TRL STE 4",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077511",
"telephone_number": "919-781-4434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VADLAMUDI",
"first_name": "NEETHI",
"middle_name": "PRIYA",
"name_prefix": "Mrs.",
"credential": "MS (SLP)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-06",
"last_updated": "2017-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "1807161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NEETHI",
"last_name": "NARA",
"middle_name": "PRIYA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.