Individual provider Active NPI

Katrina Brown Bankins, CCC-SLP

  • Speech-Language Pathologist
  • Concord, NC
National Provider Identifier
1790273670
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14079 Issued in NC
Practice address
4401 Old Airport Rd
Concord, NC 28025-7188
Phone
(704) 260-5600
NPI assigned
Apr 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14079 NC Primary

Addresses

Primary practice location

4401 Old Airport Rd
Concord, NC 28025-7188

Mailing address

9543 Indian Beech Ave NW
Concord, NC 28027-3573
Phone (757) 254-8220

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

State licenses

LicenseStateTypeSpecialty
14079NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1790273670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9543 INDIAN BEECH AVE NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273573",
            "telephone_number": "757-254-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 OLD AIRPORT RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280257188",
            "telephone_number": "704-260-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKINS",
        "first_name": "KATRINA",
        "middle_name": "BROWN",
        "name_prefix": "Dr.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "14079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.