Organization Active NPI

Child and Family Development

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1801387949
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CHILD AND FAMILY DEVELOPMENT
Practice address
4012 Park Rd Ste 200
Charlotte, NC 28209-2378
Phone
(704) 332-4834
NPI assigned
May 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Authorized official

Name
Ashley Godwin
Title
Speech-Language Pathologist
Phone
(864) 238-3074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X NC Primary

Addresses

Primary practice location

4012 Park Rd Ste 200
Charlotte, NC 28209-2378

Mailing address

10516 Park Rd
Charlotte, NC 28210-8405

Other practice location 1

10516 Park Rd
Charlotte, NC 28210-8405
Phone (704) 541-9080

National Provider Directory

National Provider Directory

Locations

10516 Park Rd
Charlotte, NC 28210
Phone (704) 325-5034

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1801387949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10516 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 PARK RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092378",
            "telephone_number": "704-332-4834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10516 Park Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108405",
            "country_code": "US",
            "telephone_number": "704-541-9080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILD AND FAMILY DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "864-238-3074"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": null,
            "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 May 24, 2018; 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.