Organization Active NPI

Mountain Discovery Charter School

  • Speech-Language Pathologist
  • Bryson City, NC
National Provider Identifier
1730499674
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MOUNTAIN DISCOVERY CHARTER SCHOOL
Practice address
890 Jenkins Branch Rd
Bryson City, NC 28713
Phone
(828) 488-1222
Fax
(828) 488-0256
NPI assigned
Oct 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Erica Waldrop
Title
Director
Phone
(828) 488-1222

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

890 Jenkins Branch Rd
Bryson City, NC 28713

Mailing address

890 Jenkins Branch Rd
Bryson City, NC 28713
Phone (828) 488-1222

National Provider Directory

National Provider Directory

Locations

890 Jenkins Branch Rd N
Bryson City, NC 28713
Phone (828) 488-1222

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1730499674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 JENKINS BRANCH RD",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "28713",
            "telephone_number": "828-488-1222",
            "fax_number": "828-488-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 JENKINS BRANCH RD",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "28713",
            "telephone_number": "828-488-1222",
            "fax_number": "828-488-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN DISCOVERY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "WALDROP",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "828-488-1222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryson City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.