Individual provider Active NPI

Valeriya Yavich, MS

  • Speech-Language Pathologist
  • Carrboro, NC
National Provider Identifier
1609303148
Registry record updated May 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12387 Issued in NC
Practice address
124 Oak St
Carrboro, NC 27510-1340
Phone
(720) 363-8750
NPI assigned
May 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12387 NC Primary

Addresses

Primary practice location

124 Oak St
Carrboro, NC 27510-1340

Mailing address

124 Oak St
Carrboro, NC 27510-1340

Other identifiers 1

IdentifierTypeStateIssuer
12387OtherNCNORTH CAROLINA BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGISTS AND AUDIOLOGI

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12387NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Valeriya Yavich Speech PLLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495152000000",
    "number": "1609303148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 OAK ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 OAK ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101340",
            "telephone_number": "720-363-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAVICH",
        "first_name": "VALERIYA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGISTS AND AUDIOLOGI",
            "identifier": "12387",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.