Organization Active NPI

Clear Speech Therapy, PC

  • Speech-Language Pathologist
  • Wilmington, NC
National Provider Identifier
1700126430
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CLEAR SPEECH THERAPY, PC
Practice address
3908 Claymore Dr
Wilmington, NC 28405-6452
Phone
(336) 509-9787
Fax
(877) 666-3816
NPI assigned
Feb 16, 2013
Last updated
Aug 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Authorized official

Name
Karen Pender, MA, CCC-SLPNPI 1417255506
Title
Speech Language Pathologist/Owner
Phone
(336) 509-9787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3908 Claymore Dr
Wilmington, NC 28405-6452

Mailing address

3908 Claymore Dr
Wilmington, NC 28405-6452
Phone (336) 509-9787

Other identifiers 1

IdentifierTypeStateIssuer
7413522MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1360972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1700126430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 CLAYMORE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284056452",
            "telephone_number": "336-509-9787",
            "fax_number": "877-666-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 CLAYMORE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284056452",
            "telephone_number": "336-509-9787",
            "fax_number": "877-666-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR SPEECH THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-16",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "PENDER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "336-509-9787",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7413522",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.