NPI Code Detail JSON Logo

1023577384 NPI number — KACIA KRISTIN MCCAGHREN BRAY PH.D., CCC-SLP

NPI Number: 1023577384
Health Care Provider/Practitioner: KACIA KRISTIN MCCAGHREN BRAY PH.D., CCC-SLP

Information about “1023577384” NPI (KACIA KRISTIN MCCAGHREN BRAY PH.D., CCC-SLP) exists in 1023577384 in HTML format HTML  |  1023577384 in plain Text format TXT  |  1023577384 in PDF (Portable Document Format) PDF  |  1023577384 in an XML format XML  formats.

NPI Number : 1023577384 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023577384",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCCAGHREN BRAY",
    "FirstName": "KACIA",
    "MiddleName": "KRISTIN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PH.D., CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MCCAGHREN",
    "OtherFirstName": "KACIA",
    "OtherMiddleName": "KRISTIN",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PH.D., CCC-SLP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "301 MAGG SMITH RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "POLLOCKSVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28573-5904",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-516-4037",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "301 MAGG SMITH RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POLLOCKSVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28573-5904",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-516-4037",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/17/2019",
    "LastUpdateDate": "10/08/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "TPSA608",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "9067",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "SLP013686",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "7870",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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