NPIMap

Organization Active NPI

Creative Speech & Specialized Therapies

  • Speech-Language Pathologist
  • Raeford, NC
National Provider Identifier
1699219337
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9993 Issued in NC
Legal business name
CREATIVE SPEECH & SPECIALIZED THERAPIES
Practice address
132 W Elwood Ave
Raeford, NC 28376-2802
Phone
(910) 670-6317
NPI assigned
Dec 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Ms. Loriann E Kinney
Title
Director/Managing Partner
Phone
(910) 670-6317

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 9993 NC Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X NC

Addresses

Primary practice location

132 W Elwood Ave
Raeford, NC 28376-2802

Mailing address

132 W Elwood Ave
Raeford, NC 28376-2802
Phone (910) 670-6317

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1699219337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W ELWOOD AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762802",
            "telephone_number": "910-670-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W ELWOOD AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762802",
            "telephone_number": "910-670-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE SPEECH & SPECIALIZED THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "KINNEY",
        "authorized_official_first_name": "LORIANN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR/MANAGING PARTNER",
        "authorized_official_telephone_number": "910-670-6317",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "9993",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.