Active NPI
Speech Stars - Speech Therapy, PLLC
- Speech-Language Pathologist
- Knightdale, NC
National Provider Identifier
1740726884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8844
- Legal business name
- SPEECH STARS - SPEECH THERAPY, PLLC
- Practice address
- 1116 Kingman Dr
Knightdale, NC 27545-6123 - Phone
- (919) 451-8729
- Fax
- (919) 295-1199
- NPI assigned
- Jan 12, 2017
- Last updated
- Jan 12, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Courtnee A. R. Roulhac, M.ED., CCC-SLP
- Title
- Owner/Speech-Language Pathologist
- Phone
- (919) 451-8729
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8844 | NC | Primary |
Addresses
Primary practice location
1116 Kingman Dr
Knightdale, NC 27545-6123
Mailing address
1116 Kingman Dr
Knightdale, NC 27545-6123
Phone (919) 451-8729
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205065448 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Cary, NC
- NPI 1205065448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484179200000",
"number": "1740726884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 KINGMAN DR",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275456123",
"telephone_number": "919-451-8729",
"fax_number": "919-295-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 KINGMAN DR",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275456123",
"telephone_number": "919-451-8729",
"fax_number": "919-295-1199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH STARS - SPEECH THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-12",
"last_updated": "2017-01-12",
"status": "A",
"authorized_official_last_name": "ROULHAC",
"authorized_official_first_name": "COURTNEE",
"authorized_official_middle_name": "A. R.",
"authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "919-451-8729",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.ED., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "8844",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205065448",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knightdale, NC
- Tasha Smith, LCSWA
- William Edward Smith III
- Kelsey Marie Socko, MA, NCC, LCMHC-A
- Soul Restoration Counseling Services PLLC
- Speech and Language Services PLLC (Leaps and Bounds Therapy)
- Hicynthia D Spells
- Katrina Renea Spencer
- Dominique Stamps, RDN
- Rikki Joy Stevenson
- Mintoria Lynette Stockton, APRN, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.