Individual provider Active NPI

Kia Simone Thatch, CCC-SLP

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1801325253
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30003919 Issued in NC
Practice address
9401 Arrowpoint Blvd
Charlotte, NC 28273-8166
Phone
(704) 426-3353
Fax
(980) 392-5580
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22007080A IN
Speech-Language Pathologist 235Z00000X 30003919 NC Primary

Addresses

Primary practice location

9401 Arrowpoint Blvd
Charlotte, NC 28273-8166

Mailing address

9555 International Cir Apt 308
Indianapolis, IN 46268-0137
Phone (317) 363-8834

Other practice location 1

9555 International Cir Apt 308
Indianapolis, IN 46268-0137
Phone (317) 363-8834

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
22007080AINMDSpeech-Language Pathologist
30003919NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stones Behavioral Solutions LLC Speech-Language Pathologist Past Accepting new patients
Pediatric Specialty Associates, Inc Past Accepting new patients
Pediatric Specialty Associates, Inc Speech-Language Pathologist PastSince May 16, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1801325253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 INTERNATIONAL CIR APT 308",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462680137",
            "telephone_number": "317-363-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 ARROWPOINT BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282738166",
            "telephone_number": "704-426-3353",
            "fax_number": "980-392-5580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9555 International Cir Apt 308",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462680137",
            "country_code": "US",
            "telephone_number": "317-363-8834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THATCH",
        "first_name": "KIA",
        "middle_name": "SIMONE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22007080A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30003919",
            "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 Jun 26, 2025; 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.