Individual provider Active NPI

Carolyn Plourde Nieri, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • Greensboro, NC
National Provider Identifier
1376883231
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5334 Issued in NC
Practice address
3560 Wildflower Dr
Greensboro, NC 27410-8802
Phone
(336) 545-5416
Fax
(336) 510-2755
NPI assigned
Feb 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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 5334 NC Primary

Addresses

Primary practice location

3560 Wildflower Dr
Greensboro, NC 27410-8802

Mailing address

3321 Annry Dr
Summerfield, NC 27358-7906
Phone (336) 337-4408

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 Education

State licenses

LicenseStateTypeSpecialty
5334NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1376883231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 ANNRY DR",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273587906",
            "telephone_number": "336-337-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 WILDFLOWER DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108802",
            "telephone_number": "336-545-5416",
            "fax_number": "336-510-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIERI",
        "first_name": "CAROLYN",
        "middle_name": "PLOURDE",
        "name_prefix": "Mrs.",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.