NPIMap

Organization Active NPI

Speech Tactics, PC

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1861736308
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9296 Issued in NC
Legal business name
SPEECH TACTICS, PC
Practice address
8848 Red Oak Blvd
Ste-Aa
Charlotte, NC 28217
Phone
(980) 422-5887
Fax
(980) 225-0025
NPI assigned
Nov 21, 2012
Last updated
Jul 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Authorized official

Name
Sharon Jordan, MS, CCC-SLPNPI 1598086936
Title
Executive Director
Phone
(980) 422-4802

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 9296 NC Primary

Addresses

Primary practice location

8848 Red Oak Blvd
Ste-Aa
Charlotte, NC 28217

Mailing address

8848 Red Oak Blvd
Ste-Aa
Charlotte, NC 28217
Phone (980) 422-5887

Other identifiers 1

IdentifierTypeStateIssuer
7413822MedicaidNC

Other names 1

  • Speech Tactics, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1338 Hundred Oaks Dr
Ste C
Charlotte, NC 28217

4651 Charlotte Park Dr
Ste 101A
Charlotte, NC 28217

8848 Red Oak Blvd
Charlotte, NC 28217
Phone (980) 422-5887

8848 Red Oak Blvd
Ste Aa
Charlotte, NC 28217
Phone (980) 422-5887

103B McAlpine Ln
Laurinburg, NC 28352
Phone (910) 277-2663

1902 W Roosevelt Blvd
Monroe, NC 28110

1902 W Roosevelt Blvd
Ste C
Monroe, NC 28110
Phone (980) 422-5588

809 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 442-0333

201 W Marion St
Shelby, NC 28150

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1861736308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8848 RED OAK BLVD",
            "address_2": "STE-AA",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28217",
            "telephone_number": "980-422-5887",
            "fax_number": "980-225-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8848 RED OAK BLVD",
            "address_2": "STE-AA",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28217",
            "telephone_number": "980-422-5887",
            "fax_number": "980-225-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH TACTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "980-422-4802",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "9296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7413822",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speech Tactics, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 1, 2020; 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.