Organization Active NPI

Speak 1St Carolina

  • Speech-Language Pathologist
  • Durham, NC
National Provider Identifier
1760876569
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEAK 1ST CAROLINA
Practice address
701 W Trinity Ave Apt 108
Durham, NC 27701-1869
Phone
(919) 219-3053
NPI assigned
Mar 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Authorized official

Name
Mr. Susan Powell
Title
Manager
Phone
(919) 219-7404

Specialties & licenses 1

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

Addresses

Primary practice location

701 W Trinity Ave Apt 108
Durham, NC 27701-1869

Mailing address

1025 Valley Rose Way
Durham, NC 27712-2991
Phone (919) 219-3053

Other identifiers 1

IdentifierTypeStateIssuer
7413310MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1760876569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 VALLEY ROSE WAY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277122991",
            "telephone_number": "919-219-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W TRINITY AVE APT 108",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277011869",
            "telephone_number": "919-219-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAK 1ST CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-219-7404",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7413310",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.