Patricia Hunter Rich, SLP

Individual provider Active NPI Speech-Language Pathologist · Trinity, NC

NPI 1720130693 · NPPES record last updated Oct 6, 2022

Key facts

NPI
1720130693
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
4935 (NC)
Practice address
3788 Traveler Dr
Trinity, NC 27370-7866
Phone
(336) 442-1866
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Fulp Therapy Services, Inc. Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4935 NC Yes

Addresses

Primary practice location

3788 Traveler Dr
Trinity, NC 27370-7866

Mailing address

3788 Traveler Dr
Trinity, NC 27370-7866
Phone (336) 442-1866

Other identifiers

IdentifierTypeStateIssuer
7412173MedicaidNC

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL richcommunicationspecialists@gmail.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 6, 2022.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1720130693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3788 TRAVELER DR",
            "city": "TRINITY",
            "state": "NC",
            "postal_code": "273707866",
            "telephone_number": "336-442-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3788 TRAVELER DR",
            "city": "TRINITY",
            "state": "NC",
            "postal_code": "273707866",
            "telephone_number": "336-442-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "PATRICIA",
        "middle_name": "HUNTER",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "4935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412173",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "richcommunicationspecialists@gmail.com",
            "affiliation": "N",
            "address_1": "3788 Traveler Dr",
            "city": "Trinity",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273707866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trinity, NC

All providers in Trinity, NC · Speech-Language Pathologist in North Carolina

Sources for this page

Verify at the official NPI Registry.