Active NPI
James Pearce
- Speech-Language Pathologist
- Durham, NC
National Provider Identifier
1821615691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13211
- Practice address
- 411 S Lasalle St
Durham, NC 27705-3701 - Phone
- (919) 338-5521
- NPI assigned
- Jun 28, 2020
- Last updated
- Jun 28, 2020
- Sex
- Male
- 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 | 13211 | NC | Primary |
Addresses
Primary practice location
411 S Lasalle St
Durham, NC 27705-3701
Mailing address
3417 Angus Rd
Durham, NC 27705-5401
Phone (510) 390-6526
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | durham |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210826003212 | NC | Practitioner - Qualified Speech Language Pathologist | 3870998909 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13211 | NC | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabcare Group East, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593302400000",
"number": "1821615691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3417 ANGUS RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277055401",
"telephone_number": "510-390-6526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 S LASALLE ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277053701",
"telephone_number": "919-338-5521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARCE",
"first_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-28",
"last_updated": "2020-06-28",
"certification_date": "2020-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "13211",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "durham",
"affiliation": "N",
"address_1": "411 S LaSalle St",
"city": "Durham",
"state": "NC",
"country_code": "US",
"postal_code": "277053701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.