Speak Easy Rehabilitation, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7386 Issued in NC

Legal business name

SPEAK EASY REHABILITATION, PLLC

Practice address

465 Timber Meadow Lake Dr
Fuquay Varina, NC 27526-4923

Phone

(919) 346-3350

Fax

(919) 285-2554

NPI assigned

Aug 27, 2010

Organization subpart

No

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

Authorized official

Name

Melissa-Rose D Cook, CCC-SLPNPI 1649425240

Title

Owner

Phone

(919) 346-3350

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa-Rose Djinia Cook, MS, CCC-SLP

  • Speech-Language Pathologist
  • Fuquay-Varina, NC
  • NPI 1649425240
  Medicare reassignment NPD Authorized official
• Raquel Barden

  • Developmental Therapist
  • Fayetteville, NC
  • NPI 1225670052
  NPD (past)

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1932415940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2023",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275263023",
            "telephone_number": "919-346-3350",
            "fax_number": "919-285-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 TIMBER MEADOW LAKE DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275264923",
            "telephone_number": "919-346-3350",
            "fax_number": "919-285-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAK EASY REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "MELISSA-ROSE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-346-3350",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7413035",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gina Marie Sox, RDH
• Wanet Elizabeth Sparks, NP
• Drew Parker Spears, FNP
• Sharon Y Speed, M.D.
• Teresa Joanne Speller
• Shantina Spencer
• Yvonne Spencer, AGACNP-BC

• Speech-Language Pathologist in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.