Active NPI
Latoya Cowan Breeden, MED.CCC/SLP
- Speech-Language Pathologist
- Charlotte, NC
National Provider Identifier
1962694034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4895
- Practice address
- 7415 Denali LN
Charlotte, NC 28216-5783 - Phone
- (704) 399-6394
- NPI assigned
- Aug 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 4895 | NC | Primary |
Addresses
Primary practice location
7415 Denali LN
Charlotte, NC 28216-5783
Mailing address
7415 Denali LN
Charlotte, NC 28216-5783
Phone (704) 399-6394
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1962694034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7415 DENALI LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282165783",
"telephone_number": "704-399-6394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7415 DENALI LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282165783",
"telephone_number": "704-399-6394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEDEN",
"first_name": "LATOYA",
"middle_name": "COWAN",
"name_prefix": "Mrs.",
"credential": "MED.CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2007-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "4895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.