Active NPI
Celia Lippitt Snow, MS,CCC-SLP
- Speech-Language Pathologist
- Wilmington, NC
National Provider Identifier
1477663185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4584
- Practice address
- 122 Brookwood Ave
Wilmington, NC 28403-1110 - Phone
- (910) 612-2814
- Fax
- (910) 341-7908
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 9, 2007
- 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 | 4584 | NC | Primary |
Addresses
Primary practice location
122 Brookwood Ave
Wilmington, NC 28403-1110
Mailing address
122 Brookwood Ave
Wilmington, NC 28403-1110
Phone (910) 612-2814
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7411502 | Medicaid | NC | |
| 135TY | Other | NC | BCBS PROVIDER NUMBER |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay Speech & Language Services, PLLC | Speech-Language Pathologist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Wilmington, NC
- NPI 1588937809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1477663185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 BROOKWOOD AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031110",
"telephone_number": "910-612-2814",
"fax_number": "910-341-7908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 BROOKWOOD AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031110",
"telephone_number": "910-612-2814",
"fax_number": "910-341-7908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOW",
"first_name": "CELIA",
"middle_name": "LIPPITT",
"name_prefix": "Ms.",
"credential": "MS,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "4584",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7411502",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "135TY",
"state": "NC"
}
],
"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 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.