Individual provider Active NPI

Charlotte A Belton, MA,CCC-SLP

  • Speech-Language Pathologist
  • Pecos, NM
National Provider Identifier
1720116783
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3764 Issued in NM
Practice address
N Hwy 63
Pecos Independent Schools
Pecos, NM 87552
Phone
(505) 757-4644
NPI assigned
Mar 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3764 NM Primary

Addresses

Primary practice location

N Hwy 63
Pecos Independent Schools
Pecos, NM 87552

Mailing address

110 San Salvador LN
Santa Fe, NM 87501-1740
Phone (505) 995-9776

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3764NMMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720116783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SAN SALVADOR LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011740",
            "telephone_number": "505-995-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N HWY 63",
            "address_2": "PECOS INDEPENDENT SCHOOLS",
            "city": "PECOS",
            "state": "NM",
            "postal_code": "87552",
            "telephone_number": "505-757-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTON",
        "first_name": "CHARLOTTE",
        "middle_name": "A",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "3764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pecos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.