Active NPI
Kimberly Baker Phu, M.A., CCC-SLP
- Speech-Language Pathologist
- Cary, NC
National Provider Identifier
1740480375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7761
- Practice address
- 100 Flemington CT
Cary, NC 27518-6800 - Phone
- (919) 606-1019
- NPI assigned
- Jul 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7761 | NC | Primary |
Addresses
Primary practice location
100 Flemington CT
Cary, NC 27518-6800
Mailing address
7410 Chesley LN
Durham, NC 27713-7209
Phone (919) 698-0382
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7761 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kru Therapy, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Raleigh, NC
- NPI 1497842215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185062400000",
"number": "1740480375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7410 CHESLEY LN",
"city": "DURHAM",
"state": "NC",
"postal_code": "277137209",
"telephone_number": "919-698-0382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FLEMINGTON CT",
"city": "CARY",
"state": "NC",
"postal_code": "275186800",
"telephone_number": "919-606-1019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHU",
"first_name": "KIMBERLY",
"middle_name": "BAKER",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-22",
"last_updated": "2007-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.