Active NPI
Casey Riddick
- Speech-Language Pathologist
- North Wilkesboro, NC
National Provider Identifier
1487560900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30002420
- Practice address
- 613 Cherry St
North Wilkesboro, NC 28659-4229 - Phone
- (336) 667-1121
- NPI assigned
- Aug 24, 2026
- 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 | 30002420 | NC | Primary |
Addresses
Primary practice location
613 Cherry St
North Wilkesboro, NC 28659-4229
Mailing address
132 Pine Ridge Dr
South Mills, NC 27976-9426
Phone (336) 314-5319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1487560900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 PINE RIDGE DR",
"city": "SOUTH MILLS",
"state": "NC",
"postal_code": "279769426",
"telephone_number": "336-314-5319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 CHERRY ST",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286594229",
"telephone_number": "336-667-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDDICK",
"first_name": "CASEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30002420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.