Organization Active NPI

Williams Robinson SLP Services LLC

  • Speech-Language Pathologist
  • Knightdale, NC
National Provider Identifier
1700935731
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6914 Issued in NC
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

Updated by the provider on Jun 18, 2009

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 6914 NC Primary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7211800MedicaidNC

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.