Megan Nicole Black

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

13026 Issued in NC

Practice address

644 Abington Dr NE
Concord, NC 28025-2568

Phone

(704) 239-6321

NPI assigned

Jun 14, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Therapy Talk, Inc

  • Speech-Language Pathologist
  • Concord, NC
  • NPI 1831306471
  NPD (past)

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1407416258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LAKE CONCORD RD NE APT A6",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250902",
            "telephone_number": "704-791-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 ABINGTON DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252568",
            "telephone_number": "704-239-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "MEGAN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@therapytalk.org",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "office@therapytalk.org",
            "address_1": "644 Abington Dr NE",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280252568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• BJ'S Wholesale Club Inc.
• Black Wolf Health North Charlotte, LLC
• David Black, ACNP
• Elizabeth Black, NP
• Marisa Black
• Bradley Blackburn, LCMHC, NCC
• Kendra Scherrie Blackeagle, CRNA
• Cameron Trent Blackman, MD
• Elisabeth Grant Blackman, DDS
• David Brandon Blackmon

• Speech-Language Pathologist in Concord, NC
• Providers in Concord, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.