Individual provider Active NPI

Belinda J Madujibeya, MSP,CCC-SLP

  • Speech-Language Pathologist
  • Garner, NC
National Provider Identifier
1881734754
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2143 Issued in NC
Practice address
500 Benson Rd
Suite 205
Garner, NC 27529-3947
Phone
(919) 332-1022
Fax
(888) 972-9297
NPI assigned
Feb 8, 2007
Last updated
Sep 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2143 NC Primary

Addresses

Primary practice location

500 Benson Rd
Suite 205
Garner, NC 27529-3947

Mailing address

1710 Lisburn CT
Garner, NC 27529-5051
Phone (919) 332-1022

Other identifiers 1

IdentifierTypeStateIssuer
54449MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2143NCMDBehavioral Analyst

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1881734754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 LISBURN CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275295051",
            "telephone_number": "919-332-1022",
            "fax_number": "888-972-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BENSON RD",
            "address_2": "SUITE 205",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293947",
            "telephone_number": "919-332-1022",
            "fax_number": "888-972-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADUJIBEYA",
        "first_name": "BELINDA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MSP,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54449",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.