Blue Ridge Speech, LLC.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BLUE RIDGE SPEECH, LLC.

Practice address

385 Fairway LN
Wilkesboro, NC 28697-7506

Phone

(336) 957-1088

NPI assigned

Aug 9, 2023

Last updated

Aug 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brooke H Welborn, MS,CCC/SLPNPI 1578924577

Title

SLP/Owner

Phone

(336) 957-1088

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brooke Welborn

  • Speech-Language Pathologist
  • Wilkesboro, NC
  • NPI 1578924577
  NPD (past) Authorized official

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1629751219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 FAIRWAY LN",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286977506",
            "telephone_number": "369-571-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 FAIRWAY LN",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286977506",
            "telephone_number": "336-957-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE SPEECH, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "WELBORN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SLP/OWNER",
        "authorized_official_telephone_number": "336-957-1088",
        "authorized_official_credential": "MS,CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Barnette, MD
• Leshea Barnette
• Kimberley Bennett, NUTRITIONIST
• Bethany Medical Center
• Lynda Black, PHD, LPC
• Allison Brame, M.S., OTR/L
• Deborah Sue Bufkin, PTA
• James Ethan Burgess, PT, DPT
• Jennifer Lynn Burgess, LMFT
• Kevin James Byrd, QP

• Speech-Language Pathologist in Wilkesboro, NC
• Providers in Wilkesboro, 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 Aug 9, 2023; 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.