Active NPI
Duke University Medical Center
- Speech-Language Pathologist
- Durham, NC
National Provider Identifier
1831477447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1205013
- Legal business name
- DUKE UNIVERSITY MEDICAL CENTER
- Practice address
- 155 Baker House Trent Dr
Dumc 3887
Durham, NC 27710-0001 - Phone
- (919) 668-2734
- NPI assigned
- Jul 31, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Marie Powell, SLP-CF
- Title
- CF of Speech Language Pathology
- Phone
- (919) 724-3995
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1205013 | NC | Primary |
Addresses
Primary practice location
155 Baker House Trent Dr
Dumc 3887
Durham, NC 27710-0001
Mailing address
155 Baker House Trent Dr
Dumc 3887
Durham, NC 27710-0001
National Provider Directory
National Provider Directory- Tax ID family
- Raleigh OBGYN Centre
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Locations
155 Baker House Trent Dr
Durham, NC 27710
Phone (919) 668-2734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312070400000",
"number": "1831477447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 BAKER HOUSE TRENT DR",
"address_2": "DUMC 3887",
"city": "DURHAM",
"state": "NC",
"postal_code": "277100001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 BAKER HOUSE TRENT DR",
"address_2": "DUMC 3887",
"city": "DURHAM",
"state": "NC",
"postal_code": "277100001",
"telephone_number": "919-668-2734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUKE UNIVERSITY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-31",
"last_updated": "2011-07-31",
"status": "A",
"authorized_official_last_name": "POWELL",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CF OF SPEECH LANGUAGE PATHOLOGY",
"authorized_official_telephone_number": "919-724-3995",
"authorized_official_credential": "SLP-CF"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "1205013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.