Terra W Bellavance, MA, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7296 Issued in NC

Practice address

101 Manning Dr
G0303 Neurosciences, Dept of Audiology and Speech Path
Chapel Hill, NC 27514-4220

Phone

(919) 843-0425

Fax

(919) 966-8690

NPI assigned

Sep 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Terra A Wiggins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1487804233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 FRIDAY CENTER DR",
            "address_2": "SUITE 2091, ROOM 2012",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179499",
            "telephone_number": "919-966-0420",
            "fax_number": "919-966-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "address_2": "G0303 NEUROSCIENCES, DEPT OF AUDIOLOGY AND SPEECH PATH",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "919-843-0425",
            "fax_number": "919-966-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAVANCE",
        "first_name": "TERRA",
        "middle_name": "W",
        "credential": "MA, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRA",
            "last_name": "WIGGINS",
            "middle_name": "A",
            "credential": "MA, CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luke Bell
• Lynda L Bell, FNP
• Samuel Bell
• Jennifer Lynn Bellamy, RT
• Nelly Bellamy, MD
• David Anthony Belyea, M.D.
• Ezer Haim Benaim, MD
• Lily Bender
• Kenneth B Benedict, PH.D.
• Celicia Bri Benitez

• All providers in Chapel Hill, NC
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.