Active NPI
Kim Rowe Dickerson, M.SC.
- Speech-Language Pathologist
- Charlotte, NC
National Provider Identifier
1740560788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2987
- Practice address
- 3527 Arklow Rd
Charlotte, NC 28269-0781 - Phone
- (704) 510-9123
- NPI assigned
- Aug 22, 2011
- 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 | 2987 | NC | Primary |
Addresses
Primary practice location
3527 Arklow Rd
Charlotte, NC 28269-0781
Mailing address
3527 Arklow Rd
Charlotte, NC 28269-0781
Phone (704) 510-9123
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2987 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1740560788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3527 ARKLOW RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282690781",
"telephone_number": "704-510-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3527 ARKLOW RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282690781",
"telephone_number": "704-510-9123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWE DICKERSON",
"first_name": "KIM",
"name_prefix": "Ms.",
"credential": "M.SC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "2987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.