Nancy Vallejo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12875 Issued in NC

Practice address

300 Clynelish Close
Pittsboro, NC 27312-4933

Phone

(919) 542-7522

NPI assigned

Jun 8, 2018

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 8, 2018.

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1982197596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ALEXAN DR APT 102",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075938",
            "telephone_number": "772-678-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CLYNELISH CLOSE",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273124933",
            "telephone_number": "919-542-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEJO",
        "first_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J. Tyler, M.D.
• Unc Physicians Network Group Practices, LLC
• Unc Physicians Network LLC
• University of North Carolina at Chapel Hill
• University of North Carolina at Chapel Hill
• Elizabeth Ann Varnum
• Gregory John Vassie, PHARMD
• Jennifer Vassie, PHARMD
• Kimber Vaughan, LMFTA
• Haley Wagner, AU.D.

• All providers in Pittsboro, NC
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.