Active NPI
Silvia Ann Graves-Owens, PH.D.
- Speech-Language Pathologist
- Simpsonville, SC
National Provider Identifier
1013160985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 626
- Practice address
- 113 Waterton Way
Simpsonville, SC 29680-7153 - Phone
- (864) 569-1132
- Fax
- (864) 967-3214
- NPI assigned
- Oct 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 626 | SC | Primary |
Addresses
Primary practice location
113 Waterton Way
Simpsonville, SC 29680-7153
Mailing address
113 Waterton Way
Simpsonville, SC 29680-7153
Phone (864) 569-1329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0123456789 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1013160985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 WATERTON WAY",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296807153",
"telephone_number": "864-569-1329",
"fax_number": "864-963-4575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 WATERTON WAY",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296807153",
"telephone_number": "864-569-1132",
"fax_number": "864-967-3214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES-OWENS",
"first_name": "SILVIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-23",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0123456789",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.