Tina Marie Pope, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

09144065 Issued in NC

Practice address

865 Carlton St
Clayton, NC 27520-3716

Phone

(919) 550-2457

Fax

(919) 550-2457

NPI assigned

Sep 26, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kidcom, L.L.C.

  • Speech-Language Pathologist
  • Clayton, NC
  • NPI 1740333731
  NPD (past) Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1982705489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 CARLTON ST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275203716",
            "telephone_number": "919-550-2457",
            "fax_number": "919-550-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 CARLTON ST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275203716",
            "telephone_number": "919-550-2457",
            "fax_number": "919-550-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "09144065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7411774",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Pleasant-King
• Lauren Ashley Plowman, MS, CCC-SLP
• Alina Dora Poczobutt, NP
• Matthew Allan Popa, MD
• Jimmie Pope, PHARM.D.
• Rachelle Kelly Porath, PT
• Ke'la Hailey Porter
• Shannan Postell, PHARMD
• Marquis Deon Poteat Sr.
• Tonya Annette Pounds, NP

• Speech-Language Pathologist in Clayton, NC
• Providers in Clayton, 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 Jul 9, 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.

Verify at the official NPI Registry.