Active NPI
Agape Speech and Language Services
- Hearing and Speech Clinic/Center
- Summerfield, NC
National Provider Identifier
1578080040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- License
- 4883
- Legal business name
- AGAPE SPEECH AND LANGUAGE SERVICES
- Practice address
- 3405 Quarterhorse CT
Summerfield, NC 27358-9096 - Phone
- 13366865180
- NPI assigned
- Aug 25, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Christopher Pickard, MA CCC SLP
- Title
- Speech Language Pathologist
- Phone
- (336) 686-5180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | 4883 | NC | Primary |
Addresses
Primary practice location
3405 Quarterhorse CT
Summerfield, NC 27358-9096
Mailing address
3405 Quarterhorse CT
Summerfield, NC 27358-9096
Phone (336) 686-5180
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503619200000",
"number": "1578080040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3405 QUARTERHORSE CT",
"city": "SUMMERFIELD",
"state": "NC",
"postal_code": "273589096",
"telephone_number": "13366865180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3405 QUARTERHORSE CT",
"city": "SUMMERFIELD",
"state": "NC",
"postal_code": "273589096",
"telephone_number": "13366865180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAPE SPEECH AND LANGUAGE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-25",
"last_updated": "2017-08-25",
"status": "A",
"authorized_official_last_name": "PICKARD",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "336-686-5180",
"authorized_official_credential": "MA CCC SLP"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": "NC",
"license": "4883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.