Active NPI
Christina Marie Buchanan, M.S., CCC-SLP
- Speech-Language Pathologist
- Fuquay Varina, NC
National Provider Identifier
1376776369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11533
- Practice address
- 141 N Main St
Fuquay Varina, NC 27526-1933 - Phone
- (978) 577-6807
- NPI assigned
- Aug 25, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11533 | NC | Primary |
Addresses
Primary practice location
141 N Main St
Fuquay Varina, NC 27526-1933
Mailing address
40305 Havers Dr
Cary, NC 27518-6959
Phone (978) 235-6260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15000 Weston Pkwy
Cary, NC 27513-2118
Phone (978) 235-6260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11533 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Speech Therapy PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1310 SE Maynard Rd
Ste 204
Cary, NC 27511
Phone (919) 247-2832
15000 Weston Pkwy
Cary, NC 27513
Phone (919) 213-0030
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
- Apex, NC
- NPI 1972117810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1376776369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40305 HAVERS DR",
"city": "CARY",
"state": "NC",
"postal_code": "275186959",
"telephone_number": "978-235-6260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 N MAIN ST",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275261933",
"telephone_number": "978-577-6807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHANAN",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-25",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "11533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.