Active NPI
Rebecca Solomon Cumbo, M.ED./CCC
- Speech-Language Pathologist
- Winston Salem, NC
National Provider Identifier
1548246721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 829
- Practice address
- 3640 Westgate Center Cir
Suite a
Winston Salem, NC 27103-3056 - Phone
- (336) 659-0806
- Fax
- (336) 659-1054
- NPI assigned
- Dec 19, 2005
- 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 | 829 | NC | Primary |
Addresses
Primary practice location
3640 Westgate Center Cir
Suite a
Winston Salem, NC 27103-3056
Mailing address
3640 Westgate Center Cir
Suite a
Winston Salem, NC 27103-3056
Phone (336) 659-0806
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B1272 | Other | NC | MEDCOST PRACTICE ID |
| 26450 | Other | NC | BCBS PROVIDER NUMBER |
| 7426450 | Medicaid | NC | |
| 51047116 | Other | NC | TRICARE PROVIDER NUMBER |
| E2524 | Other | NC | MEDCOST DR ID |
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)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 829 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1548246721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 WESTGATE CENTER CIR",
"address_2": "SUITE A",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033056",
"telephone_number": "336-659-0806",
"fax_number": "336-659-1054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 WESTGATE CENTER CIR",
"address_2": "SUITE A",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033056",
"telephone_number": "336-659-0806",
"fax_number": "336-659-1054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMBO",
"first_name": "REBECCA",
"middle_name": "SOLOMON",
"name_prefix": "Mrs.",
"credential": "M.ED./CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-19",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "829",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST PRACTICE ID",
"identifier": "B1272",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "26450",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7426450",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PROVIDER NUMBER",
"identifier": "51047116",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST DR ID",
"identifier": "E2524",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.