Active NPI
Eliza Beth Baucom Simpson, MA, CCC-SLP
- Speech-Language Pathologist
- Monroe, NC
National Provider Identifier
1770615221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 621
- Practice address
- 1605 Cobblestone Pkwy
Monroe, NC 28110-5624 - Phone
- (704) 221-0090
- Fax
- (704) 225-9815
- NPI assigned
- Mar 11, 2007
- 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 | 621 | NC | Primary |
Addresses
Primary practice location
1605 Cobblestone Pkwy
Monroe, NC 28110-5624
Mailing address
1605 Cobblestone Pkwy
Monroe, NC 28110-5624
Phone (704) 221-0090
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 |
|---|---|---|---|
| 621 | NC | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770615221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 COBBLESTONE PKWY",
"city": "MONROE",
"state": "NC",
"postal_code": "281105624",
"telephone_number": "704-221-0090",
"fax_number": "704-225-9815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 COBBLESTONE PKWY",
"city": "MONROE",
"state": "NC",
"postal_code": "281105624",
"telephone_number": "704-221-0090",
"fax_number": "704-225-9815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "ELIZA BETH",
"middle_name": "BAUCOM",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.