Caroline Poe, MA,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30001599 Issued in NC

Practice address

101 E. Satchwell St.
Burgaw, NC 28425

Phone

(336) 317-4785

NPI assigned

Apr 21, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Pender Pediatric Therapy, PC

  • Speech-Language Pathologist
  • Burgaw, NC
  • NPI 1881136851
  NPD

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1992492722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 662",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284250662",
            "telephone_number": "910-300-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E. SATCHWELL ST.",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "28425",
            "telephone_number": "336-317-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "CAROLINE",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30001599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pender Urgent Care PLLC
• Andrea Kristin Perkinson, LCSW-A
• Taylor Lynn Pico, LCMHCA
• Cassidy Plucker
• Plumb Line Services, Inc.
• Katherine Johanna Pollitt, LCSWA
• Valerie C Pollock, DDS, PA
• David L Populus Jr., CPT
• Port Health Services
• Laura Elisabeth Pridgen, MSW, LCSW-A

• Speech-Language Pathologist in Burgaw, NC
• Providers in Burgaw, 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 Apr 21, 2023; 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.