Dysphagia and Voice Therapeutics PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

DYSPHAGIA AND VOICE THERAPEUTICS PLLC

Practice address

2600 St Anna Rd
Pembroke, NC 28372-8420

Phone

(910) 217-1862

NPI assigned

Mar 12, 2021

Last updated

Mar 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tamra Lowry, SLPNPI 1528684495

Title

Owner/Authorized Official

Phone

(910) 217-1862

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tamra Lowry, CCC-SLP

  • Speech-Language Pathologist
  • Pembroke, NC
  • NPI 1528684495
  Medicare reassignment NPD Authorized official
• Kierstin Brooks Godfrey

  • Speech-Language Pathologist
  • Laurinburg, NC
  • NPI 1275361453
  NPD (past)

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1831774793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2183",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283722183",
            "telephone_number": "910-217-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 ST ANNA RD",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728420",
            "telephone_number": "910-217-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYSPHAGIA AND VOICE THERAPEUTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "TAMRA",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "910-217-1862",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Susan Christian Edkins, LAT, ATC
• James W Elvington, RPH
• Amy Melinda Emanuel, MA, LPCA

• Speech-Language Pathologist in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.

Verify at the official NPI Registry.