Active NPI
Xenia Codreanu
- Speech-Language Pathologist
- Wake Forest, NC
National Provider Identifier
1639854169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 900 S Franklin St Ste 201
Wake Forest, NC 27587-2799 - Phone
- (919) 556-1700
- NPI assigned
- Jun 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
900 S Franklin St Ste 201
Wake Forest, NC 27587-2799
Mailing address
2720 Stageline Dr
Raleigh, NC 27603-9600
Phone (919) 607-6206
Other practice location 1
2720 Stageline Dr
Raleigh, NC 27603-9600
Phone (919) 607-6206
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/data-research/computer-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehab SLP NC PLLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241120000191 | NC | Practitioner - Qualified Speech Language Pathologist | 7315472958 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1639854169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 STAGELINE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276039600",
"telephone_number": "919-607-6206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S FRANKLIN ST STE 201",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275872799",
"telephone_number": "919-556-1700"
}
],
"practiceLocations": [
{
"address_1": "2720 Stageline Dr",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276039600",
"country_code": "US",
"telephone_number": "919-607-6206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CODREANU",
"first_name": "XENIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-21",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/data-research/computer-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehab SLP NC PLLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "4101 Glenloch Cir",
"city": "Matthews",
"state": "NC",
"country_code": "US",
"postal_code": "281056636",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.