Organization Active NPI

Azalea Coast Therapy, LLC

  • Speech-Language Pathologist
  • Wilmington, NC
National Provider Identifier
1932110541
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3322 Issued in NC
Legal business name
AZALEA COAST THERAPY, LLC
Practice address
313 Walnut St
Suite 18
Wilmington, NC 28401-4067
Phone
(910) 794-4555
Fax
(910) 794-9966
NPI assigned
Aug 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Michelle Smith Arthurs, CCC-SLPNPI 1821009432
Title
Speech Pathologist
Phone
(910) 794-4555

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)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3322 NC Primary

Addresses

Primary practice location

313 Walnut St
Suite 18
Wilmington, NC 28401-4067

Mailing address

313 Walnut St
Suite 18
Wilmington, NC 28401-4067
Phone (910) 794-4555

Other identifiers 2

IdentifierTypeStateIssuer
7210807MedicaidNC
011TPOtherNCBCBS

National Provider Directory

National Provider Directory

Locations

313 Walnut St
Ste 18
Wilmington, NC 28401
Phone (910) 794-4555

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932110541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 WALNUT ST",
            "address_2": "SUITE 18",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014067",
            "telephone_number": "910-794-4555",
            "fax_number": "910-794-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 WALNUT ST",
            "address_2": "SUITE 18",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014067",
            "telephone_number": "910-794-4555",
            "fax_number": "910-794-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA COAST THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARTHURS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "910-794-4555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7210807",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "011TP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.