Active NPI
Caitlin Secrist, M.A., CF-SLP
- Speech-Language Pathologist
- Asheville, NC
National Provider Identifier
1528582236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1804243
- Practice address
- 9 Summit Avenue
B
Asheville, NC 28803 - Phone
- (828) 670-8056
- NPI assigned
- Aug 3, 2017
- 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 | 1804243 | NC | Primary |
Addresses
Primary practice location
9 Summit Avenue
B
Asheville, NC 28803
Mailing address
71A West St
Asheville, NC 28801-1136
Phone (804) 912-0501
Other practice location 1
510 Fleming St Ste A
Hendersonville, NC 28739-4250
Phone (828) 670-8056
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1804243 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Rehabilitation Specialists, Inc. | Multi-Specialty | Past | Accepting new patients |
| Carolina Pediatric Therapy | 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.
-
- Early Intervention Provider Agency
- Asheville, NC
- NPI 1972849099
-
- Speech-Language Pathologist
- Asheville, NC
- NPI 1053409367
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1528582236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71A WEST ST",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288011136",
"telephone_number": "804-912-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 SUMMIT AVENUE",
"address_2": "B",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "28803",
"telephone_number": "828-670-8056"
}
],
"practiceLocations": [
{
"address_1": "510 Fleming St Ste A",
"address_purpose": "LOCATION",
"city": "Hendersonville",
"state": "NC",
"postal_code": "287394250",
"country_code": "US",
"telephone_number": "828-670-8056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SECRIST",
"first_name": "CAITLIN",
"credential": "M.A., CF-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "1804243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.