Active NPI
Christine Leah Duffy, MS,CCC-SLP
- Speech-Language Pathologist
- Wilmington, NC
National Provider Identifier
1407936636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2451
- Practice address
- 6770 Parker Farm Dr
Wilmington, NC 28405-3183 - Phone
- (910) 679-8385
- Fax
- (910) 679-8387
- NPI assigned
- Oct 16, 2006
- 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 | 2451 | NC | Primary |
Addresses
Primary practice location
6770 Parker Farm Dr
Wilmington, NC 28405-3183
Mailing address
5007 Trailing Vine LN
Wilmington, NC 28409-3665
Phone (910) 512-5139
Other practice location 1
1960 S 17th St Ste 204
Wilmington, NC 28401-6668
Phone (910) 251-5887
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2451 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Occupational Therapy | Past | 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 and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Wilmington, NC
- NPI 1821467499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1407936636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5007 TRAILING VINE LN",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284093665",
"telephone_number": "910-512-5139",
"fax_number": "910-679-8387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6770 PARKER FARM DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284053183",
"telephone_number": "910-679-8385",
"fax_number": "910-679-8387"
}
],
"practiceLocations": [
{
"address_1": "1960 S 17th St Ste 204",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284016668",
"country_code": "US",
"telephone_number": "910-251-5887",
"fax_number": "910-772-4183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUFFY",
"first_name": "CHRISTINE",
"middle_name": "LEAH",
"credential": "MS,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "2451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.