Individual provider Active NPI

Donna Jo Richmond, MA, CCC-SLP

  • Speech-Language Pathologist
  • Durham, NC
National Provider Identifier
1881917029
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
NC4625 Issued in NC
Practice address
7 Chartwell CT
Durham, NC 27703-3739
Phone
(919) 641-8548
NPI assigned
Mar 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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 NC4625 NC Primary

Addresses

Primary practice location

7 Chartwell CT
Durham, NC 27703-3739

Mailing address

7 Chartwell CT
Durham, NC 27703-3739
Phone (919) 641-8548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130205000347 NC Practitioner - Qualified Speech Language Pathologist 5991959694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care First Physical Therapy and Rehab LLCGroup PAC ID 8022168434, 16 clinicians

Practice addresses (Care Compare)

100 Cornerstone Dr
Cary, NC 27519-8453
Phone (919) 460-1921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4625NCMDPhysical Therapy Assistant
NC4625NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Care First Physical Therapy & Rehab, LLC CurrentSince Oct 18, 2012 Accepting new patients

Locations

100 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-1921

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1881917029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CHARTWELL CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033739",
            "telephone_number": "919-641-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CHARTWELL CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033739",
            "telephone_number": "919-641-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "DONNA",
        "middle_name": "JO",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "NC4625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.