WAKE PEDIATRIC SPEECH THERAPY (NPI# 1366860546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366860546 |
| Entity Type | Organization |
| Organization Name | WAKE PEDIATRIC SPEECH THERAPY |
| Practice Address |
1157 Executive Cir Ste B1 Cary NC 27511-4579 |
| Practice Telephone | 9195938104 |
| Practice Fax Number | 9198828110 |
| Mailing Telephone | 9195938104 |
| Mailing Fax Number | 9198828110 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |
| Authorized Official Name | CHRISTINA JOHNSON (SPEECH PATHOLOGIST/OWNER) |
| Authorized Official Telephone | 9195938104 |
| Authorized Official Credential | MS, CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
5439 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7413900 | 05 |
| Street Address |
1157 EXECUTIVE CIR STE B1 |
| City | CARY |
| State | NC |
| Zip Code | 27511-4579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
| 1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
| 1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
| 1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
| 1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
| 1477044048 | Leonard Deleon | Pharmacist | 1230 Se Maynard Rd # 202, Cary, NC 27511 | 2018-05-19 |
| 1932699030 | Valerie Hunter Whidbee | Specialist | 139 E Chatham Street, Suite 105, Cary, NC 27511 | 2018-05-14 |
| 1588153878 | Ashley Horak Gyori | Speech-Language Pathologist | 905 Balmoral Dr, Cary, NC 27511 | 2018-05-02 |
| Find all providers in zip 27511 | ||||
| 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 |
|---|---|---|---|---|
| 1851722912 | Accuquest Hearing Centers LLC | Clinic/Center | 226 Ashville Ave, Suite 10, Cary, NC 27518-6660 | 2013-11-27 |
| 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 |
| 1801218532 | Rgm Holdings | Clinic/Center | 1606 E Roosevelt Blvd Ste 109, Monroe, NC 28112-4049 | 2014-01-15 |
| Find all providers with the same taxonomy | ||||
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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.