Carissa Caples, SLP
Individual provider Active NPI Speech-Language Pathologist · Wilmington, NC
NPI 1659125367 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1659125367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 30002754 (NC)
- Practice address
- 4114 Shipyard Blvd
Wilmington, NC 28403-6155 - Phone
- (910) 343-8988
- Fax
- (910) 343-4144
- NPI assigned
- Apr 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30002754 | NC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 30002754 | NC | Yes |
Addresses
Primary practice location
4114 Shipyard Blvd
Wilmington, NC 28403-6155
Mailing address
4114 Shipyard Blvd
Wilmington, NC 28403-6155
Phone (910) 617-4183
Other providers in Wilmington, NC
- Cape Medical, Inc.
- Gail Marie Capel
- Alexis Lankford Capell
- Capeside Addiction Care
- Capeside Psychiatry, PLLC
- Ronald Capleton
- Kelly L Capobianco
- Liza A Capozzi
- Linda D Cappiello
- Justine Capps
All providers in Wilmington, NC · Speech-Language Pathologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.