Individual provider Active NPI

Lillian Tumlin-Carroll, SPEECH THERAPIST

  • Speech-Language Pathologist
  • New Bern, NC
National Provider Identifier
1699851956
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5220 Issued in NC
Practice address
1916 S Glenburnie Rd
Suite 5
New Bern, NC 28562-5266
Phone
(252) 675-3621
NPI assigned
Oct 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5220 NC Primary

Addresses

Primary practice location

1916 S Glenburnie Rd
Suite 5
New Bern, NC 28562-5266

Mailing address

1822-6 S Glenburnie Rd
Suite 377
New Bern, NC 28562-5221
Phone (252) 675-3621

Other identifiers 2

IdentifierTypeStateIssuer
7411644MedicaidNC
127C2OtherNCBC

Other names 1

  • Marci Tumlin-Carroll Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5220NCMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1699851956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822-6 S GLENBURNIE RD",
            "address_2": "SUITE 377",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625221",
            "telephone_number": "252-675-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 S GLENBURNIE RD",
            "address_2": "SUITE 5",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625266",
            "telephone_number": "252-675-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMLIN-CARROLL",
        "first_name": "LILLIAN",
        "credential": "SPEECH THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-30",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7411644",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "127C2",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCI",
            "last_name": "TUMLIN-CARROLL",
            "credential": "M.ED,CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.