NPIMap

Organization Active NPI

Speech Stars, PLLC

  • Speech-Language Pathologist
  • Creedmoor, NC
National Provider Identifier
1790230274
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9633 Issued in NC
Legal business name
SPEECH STARS, PLLC
Practice address
3170 Brassfield Rd
Creedmoor, NC 27522-9793
Phone
(704) 619-7244
NPI assigned
Aug 24, 2016
Last updated
Aug 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Mrs. Caroline Drye, MA, CCC-SLP
Title
Speech Therapist
Phone
(336) 514-2068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 9633 NC Primary

Addresses

Primary practice location

3170 Brassfield Rd
Creedmoor, NC 27522-9793

Mailing address

3170 Brassfield Rd
Creedmoor, NC 27522-9793
Phone (704) 619-7244

National Provider Directory

National Provider Directory

Locations

96 County Home Rd
Blanch, NC 27212

202 N Fifth St
Mebane, NC 27302
Phone (919) 323-8480

202 N Fifth St
Ste A
Mebane, NC 27302
Phone (704) 219-5333

1631 Midtown Pl
Ste 104
Raleigh, NC 27609
Phone (919) 366-4073

Practitioners & affiliated clinicians

Practitioners 10

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": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1790230274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 BRASSFIELD RD",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275229793",
            "telephone_number": "704-619-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 BRASSFIELD RD",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275229793",
            "telephone_number": "704-619-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH STARS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "DRYE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "SPEECH THERAPIST",
        "authorized_official_telephone_number": "336-514-2068",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "9633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creedmoor, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.