NPIMap

Organization Active NPI

Speech Play, Inc.

  • Speech-Language Pathologist
  • Rocky Mount, NC
National Provider Identifier
1497713473
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3540 Issued in NC
Legal business name
SPEECH PLAY, INC.
Practice address
2024 Joelene Dr
Rocky Mount, NC 27803-1533
Phone
(252) 443-0407
Fax
(252) 443-6851
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Mrs. Carol Williams, MS-CCCSLPNPI 1134277668
Title
Owner/President
Phone
(252) 443-0407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 3540 NC Primary

Addresses

Primary practice location

2024 Joelene Dr
Rocky Mount, NC 27803-1533

Mailing address

2024 Joelene Dr
Rocky Mount, NC 27803-1533
Phone (252) 443-0407

Other identifiers 2

IdentifierTypeStateIssuer
1003WOtherNCBCBS OF NC
7211269MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1497713473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 JOELENE DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278031533",
            "telephone_number": "252-443-0407",
            "fax_number": "252-443-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 JOELENE DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278031533",
            "telephone_number": "252-443-0407",
            "fax_number": "252-443-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PLAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "252-443-0407",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS-CCCSLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "1003W",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211269",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.