Active NPI
Brooke Hannah Ridings, CCC-SLP
- Speech-Language Pathologist
- Lenoir, NC
National Provider Identifier
1376140178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2103293
- Practice address
- 2030 Harper Ave NW
Lenoir, NC 28645-4953 - Phone
- (336) 972-4851
- NPI assigned
- Oct 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2267 | WV | |
| Speech-Language Pathologist | 235Z00000X | 2103293 | NC | Primary |
| Speech-Language Pathologist | 235Z00000X | 20298 | FL | |
| Speech-Language Pathologist | 235Z00000X | 22020210386 | VA |
Addresses
Primary practice location
2030 Harper Ave NW
Lenoir, NC 28645-4953
Mailing address
2030 Harper Ave NW
Lenoir, NC 28645-4953
Other practice location 1
4501 Waterman Way
Tavares, FL 32778-5312
Phone (352) 609-4000
Other practice location 2
1755 Chickasha Dr
Pfafftown, NC 27040-8205
Phone (336) 972-4851
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2267 | WV | MD | Professional Counselor |
| 20298 | FL | MD | Clinical Social Worker |
| 2103293 | NC | MD | Speech-Language Pathologist |
| 22020210386 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speechcenter LLC, D/B/a Sidekick Therapy Partners | Speech-Language Pathologist | 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.
-
- Speech-Language Pathologist
- Winston Salem, NC
- NPI 1306840251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1376140178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 HARPER AVE NW",
"city": "LENOIR",
"state": "NC",
"postal_code": "286454953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 HARPER AVE NW",
"city": "LENOIR",
"state": "NC",
"postal_code": "286454953",
"telephone_number": "336-972-4851"
}
],
"practiceLocations": [
{
"address_1": "4501 Waterman Way",
"address_purpose": "LOCATION",
"city": "Tavares",
"state": "FL",
"postal_code": "327785312",
"country_code": "US",
"telephone_number": "352-609-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1755 Chickasha Dr",
"address_purpose": "LOCATION",
"city": "Pfafftown",
"state": "NC",
"postal_code": "270408205",
"country_code": "US",
"telephone_number": "336-972-4851",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIDINGS",
"first_name": "BROOKE",
"middle_name": "HANNAH",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-05",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "2267",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "2103293",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "20298",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "22020210386",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lenoir, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.