Active NPI
Audrey A. Donovan
- Speech-Language Pathologist
- Charlotte, NC
National Provider Identifier
1538098868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30000616
- Practice address
- 4421 Stuart Andrew Blvd
Charlotte, NC 28217-1589 - Phone
- (980) 343-6960
- NPI assigned
- May 14, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 30000616 | NC | Primary |
Addresses
Primary practice location
4421 Stuart Andrew Blvd
Charlotte, NC 28217-1589
Mailing address
1606 Abbey PL Unit 507
Charlotte, NC 28209-3594
Phone (443) 791-2950
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 |
|---|---|---|---|
| 30000616 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1538098868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 ABBEY PL UNIT 507",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093594",
"telephone_number": "443-791-2950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4421 STUART ANDREW BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282171589",
"telephone_number": "980-343-6960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "AUDREY",
"middle_name": "A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-14",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30000616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.