{"npi":"1174684591","type":"NPI-2","status":"active","name":{"display":"Speech Pathology And Audiology Services Of Robeson","other":[],"organization_name":"SPEECH PATHOLOGY AND AUDIOLOGY SERVICES OF ROBESON","authorised_official":"Jennifer Stephenson"},"specialty":{"primary_taxonomy":"235Z00000X","primary_taxonomy_description":"Speech-Language Pathology","slug":"speech-language-pathology","schema_org_specialty":"Speech","all":[{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":false,"state":null,"license":null},{"code":"235Z00000X","description":"Speech-Language Pathology","primary":true,"state":"NC","license":"5408"}]},"addresses":[{"purpose":"LOCATION","street_1":"765 OAKRIDGE BLVD","city":"LUMBERTON","state":"NC","postal_code":"283582325","country_code":"US","phone":"9107386071","fax":"9107383002"},{"purpose":"MAILING","street_1":"765 OAKRIDGE BLVD","city":"LUMBERTON","state":"NC","postal_code":"283582325","country_code":"US","phone":"9107386071","fax":"9107383002"}],"license":{"state":"NC","number":"5408"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"740235M","state":"NC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20160223000043","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NC","pac_id":"3173828522"}]},"enumeration_date":"2006-12-12","last_updated":"2016-04-18","_meta":{"source":"NPPES","snapshot_date":"2016-04-18","doc_url":"https://findmynpi.com/api"}}