Active NPI
Valerie Pebler, SLP
- Speech-Language Pathologist
- Indian Trail, NC
National Provider Identifier
1902077381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8366
- Practice address
- 1004 Rosewater LN
Indian Trail, NC 28079-3712 - Phone
- (704) 606-4972
- NPI assigned
- Mar 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 017022 | NY | |
| Speech-Language Pathologist | 235Z00000X | 8366 | NC | Primary |
Addresses
Primary practice location
1004 Rosewater LN
Indian Trail, NC 28079-3712
Mailing address
1004 Rosewater LN
Indian Trail, NC 28079-3712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00017022 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 017022 | NY | MD | Clinical Psychologist |
| 8366 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Circle Pediatric Therapy | Past | Accepting new patients |
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.
-
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- Monroe, NC
- NPI 1487842407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242259200000",
"number": "1902077381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 ROSEWATER LN",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280793712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 ROSEWATER LN",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280793712",
"telephone_number": "704-606-4972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEBLER",
"first_name": "VALERIE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-13",
"last_updated": "2009-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "017022",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "8366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00017022",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indian Trail, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.