Organization Active NPI

Genie's Speech Therapy Sevices

  • Speech-Language Pathologist
  • Sneads Ferry, NC
National Provider Identifier
1740505494
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5244 Issued in NC
Legal business name
GENIE'S SPEECH THERAPY SEVICES
Practice address
210 Egret Point Dr
Sneads Ferry, NC 28460-9464
Phone
(910) 233-9721
Fax
(866) 519-5072
NPI assigned
Apr 6, 2010
Last updated
Apr 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Mrs. Ladonna E Miller, M.A.,CCC/SLP
Title
Owner, Speech Pathologist
Phone
(910) 233-9721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5244 NC Primary

Addresses

Primary practice location

210 Egret Point Dr
Sneads Ferry, NC 28460-9464

Mailing address

210 Egret Point Dr
Sneads Ferry, NC 28460-9464
Phone (910) 233-9721

Other identifiers 1

IdentifierTypeStateIssuer
7412703MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1740505494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 EGRET POINT DR",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284609464",
            "telephone_number": "910-233-9721",
            "fax_number": "866-519-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 EGRET POINT DR",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284609464",
            "telephone_number": "910-233-9721",
            "fax_number": "866-519-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENIE'S SPEECH THERAPY SEVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER, SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "910-233-9721",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A.,CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412703",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sneads Ferry, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.