NPIMap

Organization Active NPI

Premiere Speech Therapy Services, Inc.

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1760650907
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5869 Issued in NC
Legal business name
PREMIERE SPEECH THERAPY SERVICES, INC.
Practice address
7706 Abbotsinch CT
Charlotte, NC 28269-0779
Phone
(704) 510-3550
Fax
(704) 510-1342
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Stephanie Green, MCD, CCC-SLPNPI 1770666505
Title
President
Phone
(704) 510-3550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 5869 NC Primary

Addresses

Primary practice location

7706 Abbotsinch CT
Charlotte, NC 28269-0779

Mailing address

7706 Abbotsinch CT
Charlotte, NC 28269-0779
Phone (704) 510-3550

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1760650907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7706 ABBOTSINCH CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690779",
            "telephone_number": "704-510-3550",
            "fax_number": "704-510-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7706 ABBOTSINCH CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690779",
            "telephone_number": "704-510-3550",
            "fax_number": "704-510-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE SPEECH THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-510-3550",
        "authorized_official_credential": "MCD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5869",
            "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 Feb 11, 2008; 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.