Saltwater Speech Therapy, PC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7149 Issued in NC

Legal business name

SALTWATER SPEECH THERAPY, PC

Practice address

624 US Highway 17 S
Suite 5
Holly Ridge, NC 28445-8660

Phone

(910) 541-1404

Fax

(910) 329-4445

NPI assigned

Feb 4, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Christie L Kern, M.S.NPI 1659433639

Title

Speech Language Pathologist

Phone

(910) 541-1404

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christie Kern, CCC-SLP

  • Speech-Language Pathologist
  • Holly Ridge, NC
  • NPI 1659433639
  NPD (past) Authorized official

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1427397967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284430220",
            "telephone_number": "910-541-1404",
            "fax_number": "910-329-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 US HIGHWAY 17 S",
            "address_2": "SUITE 5",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284458660",
            "telephone_number": "910-541-1404",
            "fax_number": "910-329-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALTWATER SPEECH THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "910-541-1404",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7413534",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pinewood Harbor, LLC
• Riccobene & Associates I, DDS, P.a. (Riccobene Associates Family Dentistry- Holly Ridge)
• Gail Lenora Robinson, F.N.P.-BC
• Angela Rogers
• Marissa Rumsey, MOTR/L
• Mikayla Sandusky, MS CF SLP
• Janelle Marie Sirois, COTA/L
• South Whiteville Urgent Care & Family Practice PA
• Kaitlyn Spitler, OTD, OTR/L
• Lori Lynn Stephens

• Speech-Language Pathologist in Holly Ridge, NC
• Providers in Holly Ridge, 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 Feb 4, 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.

Verify at the official NPI Registry.