Active NPI
Jaime Staron, M.A., CCC-SLP
- Speech-Language Pathologist
- Oak Island, NC
National Provider Identifier
1750684437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8158
- Practice address
- 117 NW 10TH St
Oak Island, NC 28465-7018 - Phone
- (304) 488-5620
- NPI assigned
- Dec 17, 2010
- Last updated
- Dec 17, 2010
- 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 | 8158 | NC | Primary |
Addresses
Primary practice location
117 NW 10TH St
Oak Island, NC 28465-7018
Mailing address
117 NW 10TH Street
Oak Island, NC 28465-7018
Phone (304) 488-5620
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 |
|---|---|---|---|
| 8158 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292544000000",
"number": "1750684437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 NW 10TH STREET",
"city": "OAK ISLAND",
"state": "NC",
"postal_code": "284657018",
"telephone_number": "304-488-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 NW 10TH ST",
"city": "OAK ISLAND",
"state": "NC",
"postal_code": "284657018",
"telephone_number": "304-488-5620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARON",
"first_name": "JAIME",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-17",
"last_updated": "2010-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "8158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Island, NC
- Chris Phillips, COTA/L
- Presbyterian Regional Healthcare Corp. (Oak Island Medical Center)
- Kelsey Eaves Rivenburgh
- Amanda L Shirley, FNP-C
- Hailey Lynn la Rocque Sparacino, DO
- Justin Randall Stiffler, L. AC.
- Laura C Strickland, D.O.
- Thomas Drugs Inc (Thomas Drugs)
- Ryan Christopher Tighe, D.O.
- Morgan Arvidson Todd, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.