NPIMap

Organization Active NPI

Coastal Speech and Reading Center

  • Speech-Language Pathologist
  • Lumberton, NC
National Provider Identifier
1649626466
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3553 Issued in NC
Legal business name
COASTAL SPEECH AND READING CENTER
Practice address
210 Liberty Hill Rd
Lumberton, NC 28358-2442
Phone
(910) 272-9056
Fax
(910) 272-9057
NPI assigned
May 11, 2016
Last updated
May 11, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
COASTAL THERAPY PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Mrs. Debra Dickerson-Fielner, MS, CCC-SLP
Title
Ceo
Phone
(910) 272-9056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3553 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

Other identifiers 2

IdentifierTypeStateIssuer
7211989MedicaidNC
28528OtherNCBC BS

National Provider Directory

National Provider Directory

Locations

2713 Breezewood Ave
Fayetteville, NC 28303
Phone (910) 488-4100

4130 Oleander Dr
Ste 101
Wilmington, NC 28403

Practitioners & affiliated clinicians

Practitioners 124

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.

View all 124

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1649626466",
    "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": {
        "organization_name": "COASTAL SPEECH AND READING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL THERAPY PARTNERS",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "DICKERSON-FIELNER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-272-9056",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211989",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "28528",
            "state": "NC"
        }
    ],
    "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 May 11, 2016; 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.