Individual provider Active NPI

Shradha Patel, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1376186452
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
15535 Issued in NC
Practice address
3041 Berks Way Ste 203
Raleigh, NC 27614-6777
Phone
(919) 488-4009
Fax
(984) 272-2849
NPI assigned
Oct 22, 2019
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 15535 NC Primary

Addresses

Primary practice location

3041 Berks Way Ste 203
Raleigh, NC 27614-6777

Mailing address

3041 Berks Way Ste 203
Raleigh, NC 27614-6777
Phone (919) 488-4009

Other practice location 1

3712 Benson Dr Ste 201
Raleigh, NC 27609-7385
Phone (919) 488-4009

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
029191NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holly Lamb, PLLC Speech-Language Pathologist CurrentSince Oct 21, 2025 Accepting new patients

Locations

3041 Berks Way
Ste 203
Raleigh, NC 27614
Phone (919) 429-8338

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

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1376186452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 BERKS WAY STE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146777",
            "telephone_number": "919-488-4009",
            "fax_number": "984-272-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 BERKS WAY STE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146777",
            "telephone_number": "919-488-4009",
            "fax_number": "984-272-2849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3712 Benson Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276097385",
            "country_code": "US",
            "telephone_number": "919-488-4009",
            "fax_number": "984-272-2849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHRADHA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "15535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 13, 2025; 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.