Active NPI
Keyona Dion Terry Robertson, MED, CCC-SLP
- Speech-Language Pathologist
- Pineville, NC
National Provider Identifier
1679273726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8833
- Practice address
- 410 Robin Reed CT
Pineville, NC 28134-8852 - Phone
- (704) 241-4372
- NPI assigned
- Mar 7, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8833 | NC | Primary |
Addresses
Primary practice location
410 Robin Reed CT
Pineville, NC 28134-8852
Mailing address
410 Robin Reed CT
Pineville, NC 28134-8852
Phone (704) 241-4372
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8833 | NC | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1679273726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 ROBIN REED CT",
"city": "PINEVILLE",
"state": "NC",
"postal_code": "281348852",
"telephone_number": "704-241-4372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 ROBIN REED CT",
"city": "PINEVILLE",
"state": "NC",
"postal_code": "281348852",
"telephone_number": "704-241-4372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "KEYONA",
"middle_name": "DION TERRY",
"credential": "MED, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-07",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "8833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pineville, NC
- Regulate Youth Therapy LLC
- Alisha S Richmond, PHD CCC-SLP
- Ride With Abc
- Robert C Phillilps Jr DDS PA
- Adia Roberts Mosely
- Destiny Robinette
- Rose of Sharon Covenant Ministries (Covenant Home Health)
- Carlie Roseman, RD, LDN
- Roupas Sullivan Tremont PLLC-2 (Dogwood Family Dentistry-Ballantyne)
- Sam's Club Optical (Sam's Club Optical 30-6348)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.