Makenzie Rae Parks
NPI 1245927250ActiveIndividual· Speech-Language Pathologist· Holly Ridge, NC
Speech-Language Pathologist with Coastline Therapy Group, LLC, practicing in Holly Ridge, North Carolina. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1245927250 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 19, 2023 |
| Last updated in NPPES | Apr 21, 2026 |
| Certified by provider | Apr 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 14818 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (NC) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Coastline Therapy Group, LLCLeland, NC · 17 clinicians
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