Eastern Wake Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6369 Issued in NC

Legal business name

EASTERN WAKE SPEECH THERAPY, LLC

Practice address

13270 Brantley Woods Rd
Zebulon, NC 27597

Phone

(919) 909-3577

Fax

(919) 375-4469

NPI assigned

Feb 9, 2013

Last updated

Mar 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda Cottle Kapl, MS, CCC-SLPNPI 1073730370

Title

Speech/Language Pathologist

Phone

(919) 909-3577

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Cottle Kapl

  • Speech-Language Pathologist
  • Zebulon, NC
  • NPI 1073730370
  NPD (past) Authorized official

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

{
    "created_epoch": "1360368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1497094536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1065",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275971065",
            "telephone_number": "919-909-3577",
            "fax_number": "919-375-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13270 BRANTLEY WOODS RD",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "27597",
            "telephone_number": "919-909-3577",
            "fax_number": "919-375-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN WAKE SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-09",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "KAPL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "COTTLE",
        "authorized_official_title_or_position": "SPEECH/LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "919-909-3577",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Zebulon, NC
• Providers in Zebulon, 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 Mar 27, 2017; 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.