MRS. MARCIE GALE SUSSI (NPI# 1679130454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679130454 |
| Entity Type | Individual |
| Full Name | MRS. MARCIE GALE SUSSI |
| Credential | M.S., CCC-SLP |
| Practice Address |
4201 Lake Boone Trail Suite 4 Raleigh NC 27607 |
| Practice Telephone | 9197814434 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 13501 | NC | Speech, Language and Hearing Service Providers |
| Street Address |
4201 LAKE BOONE TRAIL SUITE 4 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730283748 | Brad Wayne Baldwin | Audiologist | 4201 Lake Boone Trail, Suite 105, Raleigh, NC 27607-7511 | 2006-09-11 |
| 1811416381 | Aubrey Starks | Occupational Therapist | 4201 Lake Boone Trail, Suite 4, Raleigh, NC 27607 | 2017-09-15 |
| 1629229067 | Melissa Nicole Wickham | Occupational Therapist | 4201 Lake Boone Trail, Ste. 4, Raleigh, NC 27607-7511 | 2008-10-03 |
| 1184894065 | Margaret Ashby Munroe | Community Health Worker | 4201 Lake Boone Trail, Suite 4, Raleigh, NC 27607-7511 | 2008-03-06 |
| 1649449935 | Katherine Mary Highsmith | Social Worker | 4201 Lake Boone Trail, Suite 4, Raleigh, NC 27607-7511 | 2008-02-21 |
| 1457520751 | Veronica Mary Portrait | Community Health Worker | 4201 Lake Boone Trail, Suite 4, Raleigh, NC 27607-7511 | 2008-02-21 |
| 1073781233 | Kory Allison Barbour | Community Health Worker | 4201 Lake Boone Trail, Suite 4, Raleigh, NC 27607-7511 | 2008-02-11 |
| 1851572077 | Bonnie Jo Essig | Physical Therapist | 4201 Lake Boone Trail, Suite 4, Raleigh, NC 27607-7511 | 2007-11-15 |
| 1528254919 | Robin Moore Ramger | Speech-Language Pathologist | 4201 Lake Boone Trail, Suite 4, Raleigh, NC 27607-7511 | 2007-09-19 |
| 1669665790 | Kirstin Marie Lemme | Speech-Language Pathologist | 4201 Lake Boone Trail, Suite 4, Raleigh, NC 27607-7511 | 2007-08-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
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| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069508 | Roots and Wings Speech and Language Services, Pllc | Speech-Language Pathologist | 2005 Lodestar Dr, Raleigh, NC 27615-2520 | 2020-10-02 |
| 1073136321 | Blue Circle Services Inc | Speech-Language Pathologist | 7321 Sweet Bay Ln, Raleigh, NC 27615-6225 | 2020-05-21 |
| 1598388084 | Megan Therese Nardo | Speech-Language Pathologist | 3803b Computer Dr Ste 200, Raleigh, NC 27609-6503 | 2020-05-19 |
| 1689295438 | Bright Talkers Speech and Language Therapy Pllc | Speech-Language Pathologist | 6900 Crescent Moon Ct Apt 205, Raleigh, NC 27606-4282 | 2020-05-04 |
| 1265079610 | Katherine S Pretzer | Speech-Language Pathologist | 801 Lakestone Dr, Raleigh, NC 27609-6343 | 2019-12-04 |
| 1083262273 | Bethany Lea Pergerson | Speech-Language Pathologist | 816 Brighton Rd, Raleigh, NC 27610-1610 | 2019-08-30 |
| 1124581723 | Haley Jane Reconnu | Speech-Language Pathologist | 1301 Wake Forest Rd, Raleigh, NC 27604-1393 | 2019-04-10 |
| 1982176749 | Christine Mary Murray | Speech-Language Pathologist | 4301 Lake Boone Trl Ste 200, Raleigh, NC 27607-7507 | 2018-12-18 |
| 1326538463 | Kimberly Jean Brown | Speech-Language Pathologist | 6405 Deerview Dr, Raleigh, NC 27606-8801 | 2018-05-15 |
| 1629565791 | Haley Gilroy | Speech-Language Pathologist | 4030 Cardinal At North Hills St, Raleigh, NC 27609-2616 | 2018-04-15 |
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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.