Active NPI
Heather Ann Corica
- Speech-Language Pathologist
- Tega Cay, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7897
- Practice address
- 111 Wellmore Dr
Tega Cay, SC 29708-0124 - Phone
- (803) 835-7000
- NPI assigned
- Nov 17, 2021
- Last updated
- Mar 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 15126 | NC | |
| Speech-Language Pathologist | 235Z00000X | 7897 | SC | Primary |
Addresses
Primary practice location
111 Wellmore Dr
Tega Cay, SC 29708-0124
Mailing address
111 Wellmore Dr
Tega Cay, SC 29708-0124
Other practice location 1
1460 Babcock Dr
Winston Salem, NC 27106-2632
Phone (732) 887-2355
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7897 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Outpatient Rehabilitation Services, LLC | Current | Accepting new patients | |
| Paragon Outpatient Rehabilitation Services, LLC | Single Specialty | Current | Accepting new patients |
Locations
1195 Drake Mill Ln SW
Concord, NC 28025
Phone (704) 251-2602
2605 Swallow Rd
Rm 201
Reidsville, NC 27320
Phone (704) 251-2602
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Synchrony Rehab
- Rehabilitation Clinic/Center
- Roxboro, NC
- NPI 1245014380
-
dba Synchrony Rehabilitation
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1871867325
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1669138392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WELLMORE DR",
"city": "TEGA CAY",
"state": "SC",
"postal_code": "297080124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WELLMORE DR",
"city": "TEGA CAY",
"state": "SC",
"postal_code": "297080124",
"telephone_number": "803-835-7000"
}
],
"practiceLocations": [
{
"address_1": "1460 Babcock Dr",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271062632",
"country_code": "US",
"telephone_number": "732-887-2355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORICA",
"first_name": "HEATHER",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-17",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "15126",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "7897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tega Cay, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.