Organization Active NPI

Little Blooms Pediatric Speech and Feeding Therapy, PLLC

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1639918956
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LITTLE BLOOMS PEDIATRIC SPEECH AND FEEDING THERAPY, PLLC
Practice address
7211 Barefoot Forest Dr
Charlotte, NC 28269-5054
Phone
(973) 919-6760
NPI assigned
May 24, 2024
Last updated
May 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Authorized official

Name
Mrs. Justine A McEvoy, CCC-SLP
Title
Owner, SLP
Phone
(973) 919-6760

Specialties & licenses 1

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

Addresses

Primary practice location

7211 Barefoot Forest Dr
Charlotte, NC 28269-5054

Mailing address

7211 Barefoot Forest Dr
Charlotte, NC 28269-5054
Phone (973) 919-6760

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1639918956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 BAREFOOT FOREST DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695054",
            "telephone_number": "973-919-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 BAREFOOT FOREST DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695054",
            "telephone_number": "973-919-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE BLOOMS PEDIATRIC SPEECH AND FEEDING THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "MCEVOY",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER, SLP",
        "authorized_official_telephone_number": "973-919-6760",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.