Jerilyn McDade, MA-CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8745 Issued in NC

Practice address

118 E Cold Hollow Farms Dr
Mooresville, NC 28117-6725

Phone

(917) 647-9558

NPI assigned

Jan 21, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jerilyn Ann Dalia Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1609171750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E COLD HOLLOW FARMS DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176725",
            "telephone_number": "917-647-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E COLD HOLLOW FARMS DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176725",
            "telephone_number": "917-647-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDADE",
        "first_name": "JERILYN",
        "name_prefix": "Mrs.",
        "credential": "MA-CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERILYN",
            "last_name": "DALIA",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "MA-CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Greg Monte McCourt, D.D.S.
• Danielle Gain McCoy, DPT
• Michelle Elizabeth McCracken-Brown, PA-C
• Pamela Michele McCraw, MA , LCMHC
• Alison Nicole McCutcheon, PTA
• Stacie McDade, BCBA
• Fayla Marie McDaniel
• Leann Presley McDevitt, OTR/L
• James Patrick McDonald, MD
• Irene McDonnell, MA CCC SLP

• Speech-Language Pathologist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.