Active NPI
Brittenee Valade Fox
- Speech-Language Pathologist
- Greenville, NC
National Provider Identifier
1407404106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11058
- Practice address
- 2910 Macgregor Downs Rd
Greenville, NC 27834-8257 - Phone
- (252) 758-4121
- NPI assigned
- Aug 27, 2019
- 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 | 11058 | NC | Primary |
Addresses
Primary practice location
2910 Macgregor Downs Rd
Greenville, NC 27834-8257
Mailing address
2910 Macgregor Downs Rd
Greenville, NC 27834-8257
Phone (252) 758-4121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11058 | Other | NC | NC BOARD OF EXAMINERS FOR SLP AND AUDIOLOGISTS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11058 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1407404106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 MACGREGOR DOWNS RD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278348257",
"telephone_number": "252-758-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 MACGREGOR DOWNS RD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278348257",
"telephone_number": "252-758-4121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "BRITTENEE",
"middle_name": "VALADE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-27",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "11058",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC BOARD OF EXAMINERS FOR SLP AND AUDIOLOGISTS",
"identifier": "11058",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.