Kristin Porcelli, MSCCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2292 Issued in NC

Practice address

721 Squire LN
Wilmington, NC 28411-8346

Phone

(910) 686-0540

NPI assigned

Jun 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1437319738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 SQUIRE LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118346",
            "telephone_number": "910-686-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 SQUIRE LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118346",
            "telephone_number": "910-686-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCELLI",
        "first_name": "KRISTIN",
        "credential": "MSCCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Carmen Pope, MSW, LCSWA
• Hannah Moss Poplin, RDN, LDN
• Carson Worden Popper, DO
• Michele Mintz Populus, FNP-C
• Anna Rae Porcelli, DPT
• Port City Behavioral Health
• Port City Chiropractic Inc.
• Port City Contracting Service
• Port City Eye Associates, OD, P.a.
• Port City Family and Cosmetic Dentistry

• Speech-Language Pathologist in Wilmington, NC
• Providers in Wilmington, 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 11, 2008; 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.