Homegrown, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

HOMEGROWN, PLLC

Doing business as

Homegrown Speech

Practice address

4913 Kundinger CT
Raleigh, NC 27606-9341

Phone

(919) 741-7695

NPI assigned

Nov 3, 2017

Last updated

Mar 29, 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

Karen Williams, M.S. CCC-SLPNPI 1174909980

Title

Owner

Phone

(919) 741-7695

Specialties & licenses 1

Addresses

Other names 1

• Homegrown Speech Doing business as

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.

• Karen Kleber Williams

  • Speech-Language Pathologist
  • Raleigh, NC
  • NPI 1174909980
  NPD Authorized official

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1861904583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 KUNDINGER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276069341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 KUNDINGER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276069341",
            "telephone_number": "919-741-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEGROWN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-741-7695",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homegrown Speech",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Raleigh, NC
• Providers in Raleigh, 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 29, 2021; 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.