Individual provider Active NPI

Haley Joanne Watson

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1497533392
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30002321 Issued in NC
Practice address
10844 Providence Rd Ste 225
Charlotte, NC 28277-4107
Phone
(980) 288-6822
NPI assigned
Sep 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 30002321 NC Primary

Addresses

Primary practice location

10844 Providence Rd Ste 225
Charlotte, NC 28277-4107

Mailing address

4909 Waters Edge Dr
Raleigh, NC 27606-2462
Phone (919) 285-1647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709004200 NC Practitioner - Qualified Speech Language Pathologist 8123532298 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30002321NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Inspirations PLLC Speech-Language Pathologist CurrentSince Jun 24, 2025 Accepting new patients

Locations

10844 Providence Rd
Ste 225
Charlotte, NC 28277
Phone (919) 285-1647

4909 Waters Edge Dr
Raleigh, NC 27606
Phone (919) 285-1647

4909 Waters Edge Dr
Ste 100C
Raleigh, NC 27606

4909 Waters Edge Dr
Ste 100
Raleigh, NC 27606
Phone (919) 285-1647

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1497533392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 WATERS EDGE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062462",
            "telephone_number": "919-285-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10844 PROVIDENCE RD STE 225",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774107",
            "telephone_number": "980-288-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "HALEY",
        "middle_name": "JOANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30002321",
            "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 Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.