Individual provider Active NPI

Alison Bethany Chavarriaga, MS, CCC-SLP

  • Speech-Language Pathologist
  • Willow Spring, NC
National Provider Identifier
1386215283
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12644 Issued in NC
Practice address
814 Shadow Lake Dr
Willow Spring, NC 27592-9138
Phone
(919) 285-1647
NPI assigned
Jul 2, 2021
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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 12644 NC Primary

Addresses

Primary practice location

814 Shadow Lake Dr
Willow Spring, NC 27592-9138

Mailing address

77 Dusty Arbor LN
Pittsboro, NC 27312-6613
Phone (704) 564-3552

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

LicenseStateTypeSpecialty
12644NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Inspirations PLLC Speech-Language Pathologist CurrentSince Jul 4, 2021 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, 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": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1386215283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 DUSTY ARBOR LN",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273126613",
            "telephone_number": "704-564-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 SHADOW LAKE DR",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275929138",
            "telephone_number": "919-285-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVARRIAGA",
        "first_name": "ALISON",
        "middle_name": "BETHANY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Spring, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.