NPIMap

Organization Active NPI

Small Town Speech and Language Services, PLLC

  • Speech-Language Pathologist
  • Angier, NC
National Provider Identifier
1962239517
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SMALL TOWN SPEECH AND LANGUAGE SERVICES, PLLC
Practice address
25 Doug Johnson LN
Angier, NC 27501-7583
Phone
(919) 906-7551
NPI assigned
Sep 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Whitney Gilmore, MS, CCC-SLPNPI 1598293219
Title
Owner/SLP
Phone
(919) 906-7551

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 PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

25 Doug Johnson LN
Angier, NC 27501-7583

Mailing address

25 Doug Johnson LN
Angier, NC 27501-7583

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1962239517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 DOUG JOHNSON LN",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275017583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 DOUG JOHNSON LN",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "275017583",
            "telephone_number": "919-906-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL TOWN SPEECH AND LANGUAGE SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "919-906-7551",
        "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 Angier, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.