Active NPI
Williams Robinson SLP Services LLC
- Speech-Language Pathologist
- Knightdale, NC
National Provider Identifier
1700935731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6914
- Legal business name
- WILLIAMS ROBINSON SLP SERVICES LLC
- Practice address
- 412 Montview Way
Knightdale, NC 27545-9765 - Phone
- (919) 771-6830
- Fax
- (888) 422-2757
- NPI assigned
- Jan 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Opal Dionne Williams, M.ED. CCC-SLP
- Title
- SLP and Owner
- Phone
- (919) 771-6830
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6914 | NC | Primary |
| Speech-Language Pathologist | 235Z00000X | 4240 | SC |
Addresses
Primary practice location
412 Montview Way
Knightdale, NC 27545-9765
Mailing address
412 Montview Way
Knightdale, NC 27545-9765
Phone (919) 771-6830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7211800 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245283200000",
"number": "1700935731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 MONTVIEW WAY",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275459765",
"telephone_number": "919-771-6830",
"fax_number": "888-422-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 MONTVIEW WAY",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275459765",
"telephone_number": "919-771-6830",
"fax_number": "888-422-2757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAMS ROBINSON SLP SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2009-06-18",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "OPAL",
"authorized_official_middle_name": "DIONNE",
"authorized_official_title_or_position": "SLP AND OWNER",
"authorized_official_telephone_number": "919-771-6830",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.ED. CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "6914",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "4240",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7211800",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knightdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.