KIDSPEAK MANAGEMENT, LLC (NPI# 1003365362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003365362 |
| Entity Type | Organization |
| Organization Name | KIDSPEAK MANAGEMENT, LLC |
| Practice Address |
6911 Shannon Willow Rd Suite 700 Charlotte NC 28226-1346 |
| Practice Telephone | 7045403777 |
| Mailing Telephone | 7045403777 |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |
| Authorized Official Name | GORDY ROGERS (MANAGER) |
| Authorized Official Telephone | 7045403777 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities |
| Street Address |
6911 SHANNON WILLOW RD SUITE 700 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-1346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972686251 | Angela Ellen Mackert | Speech-Language Pathologist | 6911 Shannon Willow Rd, Suite 700, Charlotte, NC 28226-1346 | 2006-10-23 |
| 1629575089 | Jennifer O'brien Adorno | Counselor | 6911 Shannon Willow Rd, Charlotte, NC 28226-1346 | 2018-04-11 |
| 1619413820 | Carolina Physical Medicine PC | Psychiatry & Neurology | 6911 Shannon Willow Rd, Suite 500, Charlotte, NC 28226-1346 | 2017-01-11 |
| 1891147237 | Providence Physical Medicine PC | Physical Medicine & Rehabilitation | 6911 Shannon Willow Rd, Ste 500, Charlotte, NC 28226-1346 | 2016-07-11 |
| 1609153345 | Providence Health Center | Chiropractor | 6911 Shannon Willow Rd, Suite 500, Charlotte, NC 28226-1351 | 2011-11-09 |
| 1598056970 | Laine Anne Gutierrez | Speech-Language Pathologist | 6911 Shannon Willow Rd, Suite 700, Charlotte, NC 28226-1346 | 2011-04-20 |
| 1811204217 | North Carolina Neuropsychiatry | Clinical Neuropsychologist | 6911 Shannon Willow Rd, Suite 100, Charlotte, NC 28226-1346 | 2010-09-07 |
| 1801113717 | Timothy A Lesondak | Physical Therapist | 6911 Shannon Willow Rd, Suite 700, Charlotte, NC 28226-1346 | 2010-05-01 |
| 1770818643 | Julie Rabon | Speech-Language Pathologist | 6911 Shannon Willow Rd, Suite 700, Charlotte, NC 28226-1346 | 2009-10-12 |
| 1245563683 | Douglas Wayne Morris | Chiropractor | 6911 Shannon Willow Rd, Charlotte, NC 28226-1346 | 2009-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
| 1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
| Find all providers in zip 28226 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790860740 | Speech and Reading Therapy, Inc. | Clinic/Center | 10020 Cloisters Club Ln, #107, Charlotte, NC 28278-7592 | 2006-10-26 |
| 1467051771 | Queen City Speech | Clinic/Center | 1235 East Blvd Ste E137, Charlotte, NC 28203-5870 | 2020-10-19 |
| 1447788492 | Communication Matters, Inc. | Clinic/Center | 4829 Crownvista Dr, Charlotte, NC 28269-0870 | 2017-06-02 |
| 1669787982 | Accuquest Hearing Center | Clinic/Center | 7820 Ballantyne Commons Pkwy, Suite 100, Charlotte, NC 28277-2841 | 2010-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372888 | Full Spectrum Therapy Services, Pllc | Clinic/Center | 7637 Henderson Park Rd, Huntersville, NC 28078-6366 | 2020-10-01 |
| 1144835935 | Blue Hill Therapy Pllc | Clinic/Center | 623 Arlington St, Chapel Hill, NC 27514-6701 | 2020-09-09 |
| 1477109874 | Chapman Communication and Rehabilitation | Clinic/Center | 5406 John Washington Rd, Browns Summit, NC 27214-9576 | 2019-08-13 |
| 1528552007 | Therapy Playground, Inc | Clinic/Center | 103 Sleepy Dr Ste Ghi, Spring Lake, NC 28390-3324 | 2018-06-19 |
| 1548789787 | Prismatic Speech Services, Pllc | Clinic/Center | 3407 W Wendover Ave Ste I, Greensboro, NC 27407-1584 | 2017-09-19 |
| 1578080040 | Agape Speech and Language Services | Clinic/Center | 3405 Quarterhorse Ct, Summerfield, NC 27358-9096 | 2017-08-25 |
| 1154857845 | Speech Horizons | Clinic/Center | 208 Station Dr, Morrisville, NC 27560-9249 | 2017-05-02 |
| 1780127548 | Invitation Therapy | Clinic/Center | 364 Us 70 W Ste 3, Marion, NC 28752 | 2016-11-28 |
| 1154711976 | Treasured Communications LLC | Clinic/Center | 1140 Sam Newell Rd, Suite B-5, Matthews, NC 28105-5065 | 2015-02-01 |
| 1366860546 | Wake Pediatric Speech Therapy | Clinic/Center | 1157 Executive Cir Ste B1, Cary, NC 27511-4579 | 2014-04-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.