Serenity Speech Therapy, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SERENITY SPEECH THERAPY, PLLC

Practice address

4044 Queensbridge Rd Ste a
Charlotte, NC 28213-4895

Phone

(828) 548-3155

NPI assigned

May 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kelli Uitenham, CLINSCID, CCC-SLPNPI 1235534199

Title

Doctor of Speech Language Pathology

Phone

(828) 548-3155

Specialties & licenses 1

Addresses

Other names 1

• Serenity Speech Therapy, PLLC Doing business as

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.

• Kelli Uitenham, CLINSCID, CCC-SLP

  • Speech-Language Pathologist
  • Charlotte, NC
  • NPI 1235534199
  Medicare reassignment Authorized official
• Valarie A. Gerrald, M.S CCC-SLP

  • Speech-Language Pathologist
  • Charlotte, NC
  • NPI 1679892509
  Medicare reassignment NPD

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1972125292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621943",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282620130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4044 QUEENSBRIDGE RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134895",
            "telephone_number": "828-548-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SPEECH THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "UITENHAM",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "DOCTOR OF SPEECH LANGUAGE PATHOLOGY",
        "authorized_official_telephone_number": "828-548-3155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CLINSCID, 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": [
        {
            "organization_name": "Serenity Speech Therapy, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Serenity Smiles Home Care LLC
• Serenity Support Services
• Serenity Wellness Group LLC
• Sergei Shirman DMD PLLC
• Lisa Anne Seropian, PSY.D.
• Laura Maria Serrano-Ortiz, MD

• Speech-Language Pathologist in Charlotte, NC
• Providers in Charlotte, 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 May 8, 2020; 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.