Individual provider Active NPI

Amy Michelle Munekata, M.S. CCC-SLP, CBIS

  • Speech-Language Pathologist
  • Durham, NC
National Provider Identifier
1932766607
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13184 Issued in NC
Practice address
3905 University Dr
Durham, NC 27707-2517
Phone
(919) 928-0204
NPI assigned
May 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 13184 NC Primary

Addresses

Primary practice location

3905 University Dr
Durham, NC 27707-2517

Mailing address

537 Hobkirks PL
Durham, NC 27704-2993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210219002582 NC Practitioner - Qualified Speech Language Pathologist 3274948435 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
13184NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emerge-a Child's Place, PLLC Speech-Language Pathologist CurrentSince Oct 22, 2020 Accepting new patients

Locations

3905 University Dr
Durham, NC 27707
Phone (919) 246-0590

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.

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1932766607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 HOBKIRKS PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 UNIVERSITY DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072517",
            "telephone_number": "919-928-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNEKATA",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "M.S. CCC-SLP, CBIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13184",
            "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 Jul 13, 2023; 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.