Active NPI
Bloom and Grow Early Childhood Development, LLC
- Speech-Language Pathologist
- Chapel Hill, NC
National Provider Identifier
1912762329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- BLOOM AND GROW EARLY CHILDHOOD DEVELOPMENT, LLC
- Practice address
- 34 Valley Meadow Dr
Chapel Hill, NC 27516-0348 - Phone
- (586) 306-6669
- NPI assigned
- Feb 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Lord, MS, CCC-SLP
- Title
- Speech-Language Pathologist
- Phone
- (586) 306-6669
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
34 Valley Meadow Dr
Chapel Hill, NC 27516-0348
Mailing address
908 Reedy Way
Durham, NC 27703-4799
Phone (586) 306-6669
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Carrboro, NC
- NPI 1649797622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707868800000",
"number": "1912762329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 REEDY WAY",
"city": "DURHAM",
"state": "NC",
"postal_code": "277034799",
"telephone_number": "586-306-6669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 VALLEY MEADOW DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275160348",
"telephone_number": "586-306-6669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOOM AND GROW EARLY CHILDHOOD DEVELOPMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-14",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A",
"authorized_official_last_name": "LORD",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "586-306-6669",
"authorized_official_credential": "MS, CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.