Organization Active NPI

Sunrise Speech and Feeding Therapy, Inc.

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1982331138
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SUNRISE SPEECH AND FEEDING THERAPY, INC.
Practice address
301 S McDowell St Unit 125-1559
Charlotte, NC 28204-2623
Phone
(707) 595-8284
NPI assigned
Aug 5, 2022
Last updated
Nov 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
McKenna Roberts, CCC-SLPNPI 1275940744
Title
President/SLP
Phone
(707) 595-8284

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

301 S McDowell St Unit 125-1559
Charlotte, NC 28204-2623

Mailing address

301 S McDowell St Unit 125-1559
Charlotte, NC 28204-2623
Phone (707) 595-8284

National Provider Directory

National Provider Directory

Locations

301 S McDowell St
Unit 1251559
Charlotte, NC 28204
Phone (707) 595-8284

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1982331138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MCDOWELL ST UNIT 125-1559",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042623",
            "telephone_number": "707-595-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MCDOWELL ST UNIT 125-1559",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042623",
            "telephone_number": "707-595-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE SPEECH AND FEEDING THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MCKENNA",
        "authorized_official_title_or_position": "PRESIDENT/SLP",
        "authorized_official_telephone_number": "707-595-8284",
        "authorized_official_credential": "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 Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.