Active NPI
Conrad Lineberry, M.A., CCC-SLP
- Speech-Language Pathologist
- Durham, NC
National Provider Identifier
1932665825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8482
- Practice address
- 6000 Fayetteville Rd
Durham, NC 27713-9754 - Phone
- (919) 612-6907
- NPI assigned
- Feb 15, 2019
- Last updated
- Feb 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 8482 | NC | Primary |
Addresses
Primary practice location
6000 Fayetteville Rd
Durham, NC 27713-9754
Mailing address
11 Fox Chase LN
Durham, NC 27713-9458
Phone (919) 612-6907
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8482 | NC | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550188800000",
"number": "1932665825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 FOX CHASE LN",
"city": "DURHAM",
"state": "NC",
"postal_code": "277139458",
"telephone_number": "919-612-6907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 FAYETTEVILLE RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277139754",
"telephone_number": "919-612-6907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINEBERRY",
"first_name": "CONRAD",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-15",
"last_updated": "2019-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "8482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.