Individual provider Active NPI

Cierra Harris Leviner, MS

  • Speech-Language Pathologist
  • Pembroke, NC
National Provider Identifier
1508208166
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10422 Issued in NC
Practice address
812 Candy Park Rd
Suite 7101a
Pembroke, NC 28372-9129
Phone
(910) 521-1677
Fax
(910) 521-1676
NPI assigned
Jul 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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 10422 NC Primary

Addresses

Primary practice location

812 Candy Park Rd
Suite 7101a
Pembroke, NC 28372-9129

Mailing address

PO Box 3442
Pembroke, NC 28372-3442
Phone (910) 521-1677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
10422NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech N Progress, Inc. Speech-Language Pathologist Past Accepting new patients
Speech N Progress Inc Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1508208166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3442",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283723442",
            "telephone_number": "910-521-1677",
            "fax_number": "910-521-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CANDY PARK RD",
            "address_2": "SUITE 7101A",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729129",
            "telephone_number": "910-521-1677",
            "fax_number": "910-521-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINER",
        "first_name": "CIERRA",
        "middle_name": "HARRIS",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.