Active NPI
Charlie C Lytle, MSCCCSLP
- Speech-Language Pathologist
- Sylva, NC
National Provider Identifier
1538702667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8779
- Practice address
- 185 Brick Farm Rd
Sylva, NC 28779 - Phone
- (828) 556-9070
- NPI assigned
- Oct 22, 2019
- Sex
- Male
- 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 | 8779 | NC | Primary |
Addresses
Primary practice location
185 Brick Farm Rd
Sylva, NC 28779
Mailing address
775 Haywood Rd Ste H
Asheville, NC 28806-7111
Phone (828) 774-5222
Other practice location 1
185 Brick Farm Rd
Sylva, NC 28779
Phone (828) 556-9070
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 |
|---|---|---|---|
| 8779 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluewater Physician Services | Past | Accepting new patients | |
| Broad River Rehabilitation | 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.
-
- Specialist
- Asheville, NC
- NPI 1811598733
-
dba Broad River Rehab
- Occupational Therapist
- Charlotte, NC
- NPI 1902317589
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1538702667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 HAYWOOD RD STE H",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288067111",
"telephone_number": "828-774-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 BRICK FARM RD",
"city": "SYLVA",
"state": "NC",
"postal_code": "28779",
"telephone_number": "828-556-9070"
}
],
"practiceLocations": [
{
"address_1": "185 Brick Farm Rd",
"address_purpose": "LOCATION",
"city": "Sylva",
"state": "NC",
"postal_code": "28779",
"country_code": "US",
"telephone_number": "828-556-9070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYTLE",
"first_name": "CHARLIE",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "MSCCCSLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-22",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "8779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sylva, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.