Active NPI
Katrina L. Brewington, SPEECH LANGUAGE PATH
- Speech-Language Pathologist
- Lumberton, NC
National Provider Identifier
1386953610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8442
- Practice address
- 4260 Fayetteville Rd
Lumberton, NC 28358-2711 - Phone
- (910) 671-9629
- Fax
- (910) 671-9630
- NPI assigned
- Oct 5, 2010
- Last updated
- Oct 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 8442 | NC | Primary |
Addresses
Primary practice location
4260 Fayetteville Rd
Lumberton, NC 28358-2711
Mailing address
PO Box 1288
Lumberton, NC 28359-1288
Phone (910) 671-9629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8442 | Other | NC | SPEECH LANGUAGE PATHOLOGIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8442 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speechfundamentals PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| Speech Solutions Inc | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Pembroke, NC
- NPI 1235490798
-
- Speech-Language Pathologist
- Lumberton, NC
- NPI 1467485367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1386953610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1288",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283591288",
"telephone_number": "910-671-9629",
"fax_number": "910-671-9630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4260 FAYETTEVILLE RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582711",
"telephone_number": "910-671-9629",
"fax_number": "910-671-9630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWINGTON",
"first_name": "KATRINA",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "SPEECH LANGUAGE PATH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-05",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "8442",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH LANGUAGE PATHOLOGIST",
"identifier": "8442",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.