Active NPI
Robin Kay Digiacomo, MS CCC SLP
- Speech-Language Pathologist
- New Bern, NC
National Provider Identifier
1548434855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12762
- Practice address
- 1314 Commerce Dr Ste B
New Bern, NC 28562-2287 - Phone
- (252) 341-9944
- Fax
- (252) 439-0957
- NPI assigned
- Apr 17, 2008
- 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 | 12762 | NC | Primary |
Addresses
Primary practice location
1314 Commerce Dr Ste B
New Bern, NC 28562-2287
Mailing address
4202 Sienna PL
New Bern, NC 28562-9231
Phone (404) 606-6752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548434855 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230802001875 | NC | Practitioner - Qualified Speech Language Pathologist | 9537447222 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12762 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1548434855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4202 SIENNA PL",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285629231",
"telephone_number": "404-606-6752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 COMMERCE DR STE B",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285622287",
"telephone_number": "252-341-9944",
"fax_number": "252-439-0957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIGIACOMO",
"first_name": "ROBIN",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-17",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "12762",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548434855",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.