Individual provider Active NPI

Molly Elizabeth Brown

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1447899026
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13360 Issued in NC
Practice address
6911 Shannon Willow Rd Ste 700
Charlotte, NC 28226-1353
Phone
(704) 540-3777
NPI assigned
Dec 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202007409 VA
Speech-Language Pathologist 235Z00000X 13360 NC Primary

Addresses

Primary practice location

6911 Shannon Willow Rd Ste 700
Charlotte, NC 28226-1353

Mailing address

6911 Shannon Willow Rd Ste 700
Charlotte, NC 28226-1353
Phone (704) 540-3777

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

LicenseStateTypeSpecialty
13360NCMDGeneral Practice Dentistry
2202007409VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidspeak Speech and Language Services, Inc. Speech-Language Pathologist CurrentSince Feb 25, 2024 Accepting new patients
Kidspeak Management, LLC PastSince Jan 5, 2020 Accepting new patients

Locations

6911 Shannon Willow Rd
Ste 700
Charlotte, NC 28226
Phone (704) 540-3777

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1447899026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 SHANNON WILLOW RD STE 700",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261353",
            "telephone_number": "704-540-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 SHANNON WILLOW RD STE 700",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261353",
            "telephone_number": "704-540-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MOLLY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007409",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.