Nicole Taylor Glunt, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2107121 Issued in NC

Practice address

129 N Tradd St
Statesville, NC 28677-5239

Phone

(704) 380-0799

Fax

(704) 278-0146

NPI assigned

Sep 17, 2021

Last updated

Sep 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolina Speech Therapy Inc

  • Speech-Language Pathologist
  • Cleveland, NC
  • NPI 1285753939
  NPD (past)

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1609546985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N TRADD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775239",
            "telephone_number": "704-380-0799",
            "fax_number": "704-278-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N TRADD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775239",
            "telephone_number": "704-380-0799",
            "fax_number": "704-278-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUNT",
        "first_name": "NICOLE",
        "middle_name": "TAYLOR",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2107121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@carolinaspeechtherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "129 N Tradd St",
            "city": "Statesville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286775239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Marie Gilbert, FNP
• Burgo Doyle Gill III, PA
• Shara Gilreath, M.A., LPCA
• Tracy Lee Gilreath, MA, LPC
• Diana Glover-Campbell, CO, CPED, CFM
• Tammy Godfrey, LCAS
• Dawn Goforth
• Mariana Gonzalez-Perez, LCMHC-A
• Karen Esmeralda Gonzalez
• Goodwill Industries NWNC

• Speech-Language Pathologist in Statesville, NC
• Providers in Statesville, 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 Sep 17, 2021; 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.