Yalonda Seniece Packer, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10427 Issued in NC

Practice address

1209 Braemar Highland Dr
Zebulon, NC 27597-6728

Phone

(910) 305-6469

Fax

(919) 551-7588

NPI assigned

Jul 22, 2013

Last updated

Jul 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Triangle Dysphagia and Feeding LLC

  • Speech-Language Pathologist
  • Raleigh, NC
  • NPI 1104373653
  NPD (past)

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1881036648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 BRAEMAR HIGHLAND DR",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275976728",
            "telephone_number": "910-305-6469",
            "fax_number": "919-551-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 BRAEMAR HIGHLAND DR",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275976728",
            "telephone_number": "910-305-6469",
            "fax_number": "919-551-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "YALONDA",
        "middle_name": "SENIECE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah Margaret Petrie, NP
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• Speech-Language Pathologist in Zebulon, NC
• Providers in Zebulon, 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 Jul 11, 2024; 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.