Active NPI
Caitlin Leary
- Speech-Language Pathologist
- Fort Bragg, NC
National Provider Identifier
1417297961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10260
- Practice address
- 11 Globemaster Ave
Fort Bragg, NC 28307-1508 - Phone
- (315) 729-8908
- NPI assigned
- Feb 20, 2013
- 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 | 10260 | NC | Primary |
Addresses
Primary practice location
11 Globemaster Ave
Fort Bragg, NC 28307-1508
Mailing address
11 Globemaster Ave
Fort Bragg, NC 28307-1508
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 |
|---|---|---|---|
| 10260 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1417297961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 GLOBEMASTER AVE",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283071508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 GLOBEMASTER AVE",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283071508",
"telephone_number": "315-729-8908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEARY",
"first_name": "CAITLIN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-20",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "10260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.