Active NPI
Keri Lynn Canevari, CCC-SLP
- Speech-Language Pathologist
- Concord, NC
National Provider Identifier
1891949384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8283
- Practice address
- 430 Brookwood Ave NE
Concord, NC 28025-2566 - Phone
- (704) 788-4115
- NPI assigned
- Nov 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8283 | NC | Primary |
Addresses
Primary practice location
430 Brookwood Ave NE
Concord, NC 28025-2566
Mailing address
430 Brookwood Ave NE
Concord, NC 28025-2566
Phone (704) 788-4115
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226275200000",
"number": "1891949384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 BROOKWOOD AVE NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252566",
"telephone_number": "704-788-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 BROOKWOOD AVE NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252566",
"telephone_number": "704-788-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANEVARI",
"first_name": "KERI",
"middle_name": "LYNN",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-10",
"last_updated": "2008-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "8283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.