Organization Active NPI

Carolina Coast Speech Therapy, PLLC

  • Speech-Language Pathologist
  • Wilmington, NC
National Provider Identifier
1841692076
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6068 Issued in NC
Legal business name
CAROLINA COAST SPEECH THERAPY, PLLC
Practice address
3907 Wrightsville Ave Ste 100
Wilmington, NC 28403-6247
Phone
(910) 352-3318
Fax
(910) 799-7119
NPI assigned
Sep 18, 2014
Last updated
Oct 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Mrs. Julie Nations Flynt, MA CCC-SLPNPI 1760742910
Title
Owner
Phone
(910) 325-3318

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6068 NC Primary

Addresses

Primary practice location

3907 Wrightsville Ave Ste 100
Wilmington, NC 28403-6247

Mailing address

3907 Wrightsville Ave Ste 100
Wilmington, NC 28403-6247
Phone (910) 352-3318

National Provider Directory

National Provider Directory

Locations

3907 Wrightsville Ave
Ste 100
Wilmington, NC 28403
Phone (910) 352-3318

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1841692076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 WRIGHTSVILLE AVE STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036247",
            "telephone_number": "910-352-3318",
            "fax_number": "910-799-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 WRIGHTSVILLE AVE STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036247",
            "telephone_number": "910-352-3318",
            "fax_number": "910-799-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COAST SPEECH THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "FLYNT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "NATIONS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-325-3318",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.