Individual provider Active NPI

Marian Nell Easler, MSP, CCC-SLP

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1508525809
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2110111 Issued in NC
Practice address
2722 Hidden Waters Cir
Raleigh, NC 27614-8520
Phone
(919) 465-4424
NPI assigned
Dec 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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 2110111 NC Primary

Addresses

Primary practice location

2722 Hidden Waters Cir
Raleigh, NC 27614-8520

Mailing address

26 Stonewall Way
Durham, NC 27704-1778
Phone (843) 372-1621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230907003648 NC Practitioner - Qualified Speech Language Pathologist 2365806486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of South Carolina School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

1999
Suite 119
Mebane, NC 27302
Phone (919) 737-7251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Broad River Rehabilitation Speech-Language Pathologist CurrentSince Feb 9, 2026 Accepting new patients
Benefit Therapy Services, PLLC Speech-Language Pathologist CurrentSince Aug 21, 2023 Accepting new patients
KM Pediatric Therapy, Inc. Speech-Language Pathologist PastSince Dec 21, 2021 Accepting new patients
Lolly Therapeutics, LLC Speech-Language Pathologist PastSince Dec 21, 2021 Accepting new patients

Locations

1140 Holly Springs Rd
Ste 111
Holly Springs, NC 27540
Phone (919) 285-2157

600A Village Walk Dr
Holly Springs, NC 27540
Phone (919) 285-2157

Organizations & group practices 4

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": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1508525809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 STONEWALL WAY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041778",
            "telephone_number": "843-372-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 HIDDEN WATERS CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148520",
            "telephone_number": "919-465-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASLER",
        "first_name": "MARIAN",
        "middle_name": "NELL",
        "name_prefix": "Ms.",
        "credential": "MSP, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2110111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.