Active NPI
Mandi Izzell Royal, SLP
- Speech-Language Pathologist
- Lumberton, NC
National Provider Identifier
1649504374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8698
- Practice address
- 210 Liberty Hill Rd
Lumberton, NC 28358-2442 - Phone
- (910) 272-9056
- Fax
- (910) 272-9057
- NPI assigned
- Sep 29, 2009
- 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 | 8698 | NC | Primary |
Addresses
Primary practice location
210 Liberty Hill Rd
Lumberton, NC 28358-2442
Mailing address
210 Liberty Hill Rd
Lumberton, NC 28358-2442
Phone (910) 272-9056
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8698 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1649504374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 LIBERTY HILL RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582442",
"telephone_number": "910-272-9056",
"fax_number": "910-272-9057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 LIBERTY HILL RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582442",
"telephone_number": "910-272-9056",
"fax_number": "910-272-9057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYAL",
"first_name": "MANDI",
"middle_name": "IZZELL",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-29",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "8698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.