Individual provider Active NPI

Rebecca D Cole, MM MS SLP

  • Speech-Language Pathologist
  • Cameron, NC
National Provider Identifier
1700762093
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30002359 Issued in NC
Practice address
920 Lakeridge Dr
Cameron, NC 28326-8878
Phone
(859) 314-5610
NPI assigned
Aug 13, 2025
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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 30002359 NC Primary

Addresses

Primary practice location

920 Lakeridge Dr
Cameron, NC 28326-8878

Mailing address

135 W Illinois Ave Unit 147
Southern Pines, NC 28387-5808

Other practice location 1

135 W Illinois Ave Unit 147
Southern Pines, NC 28387-5808
Phone (910) 684-3531

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
30002359NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1700762093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W ILLINOIS AVE UNIT 147",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 LAKERIDGE DR",
            "city": "CAMERON",
            "state": "NC",
            "postal_code": "283268878",
            "telephone_number": "859-314-5610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 W Illinois Ave Unit 147",
            "address_purpose": "LOCATION",
            "city": "Southern Pines",
            "state": "NC",
            "postal_code": "283875808",
            "country_code": "US",
            "telephone_number": "910-684-3531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "REBECCA",
        "middle_name": "D",
        "credential": "MM MS SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30002359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.