Active NPI
Caroline Fraley Brannon, CCC-SLP
- Speech-Language Pathologist
- China Grove, NC
National Provider Identifier
1508375882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11553
- Practice address
- 120 Elizabeth St
China Grove, NC 28023-3103 - Phone
- (704) 692-5758
- NPI assigned
- Sep 29, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11553 | NC | Primary |
Addresses
Primary practice location
120 Elizabeth St
China Grove, NC 28023-3103
Mailing address
120 Elizabeth St.
China Grove, NC 28023
Phone (704) 692-5758
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11553 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1508375882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 ELIZABETH ST.",
"city": "CHINA GROVE",
"state": "NC",
"postal_code": "28023",
"telephone_number": "704-692-5758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 ELIZABETH ST",
"city": "CHINA GROVE",
"state": "NC",
"postal_code": "280233103",
"telephone_number": "704-692-5758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANNON",
"first_name": "CAROLINE",
"middle_name": "FRALEY",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "11553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in China Grove, NC
- Hannah E King Barnhardt, FNP-C
- Kortney Ann Baucom, COTA/L
- Joel Thomas Bibby, PHARMD
- Meredith Davis Bowen, MD
- Laretta Bowers
- Robert E. Brewington
- Cabarrus County Group Homes, Inc.
- Cabarrus County Group Homes, Inc.
- Cabarrus Rowan Community Health Centers, Inc. (APHS-China Grove Dental)
- Cabarrus Rowan Community Health Centers, Inc. (APHS-China Grove Family Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.