Alicia Shanta Smalls

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7732 Issued in SC

Practice address

1013 N King St
Apt 200B
Columbia, SC 29223

Phone

(803) 312-5533

NPI assigned

Jun 1, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1013656628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 TWO NOTCH RD",
            "address_2": "STE 2 PMB 212",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234395",
            "telephone_number": "803-312-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 N KING ST",
            "address_2": "APT 200B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29223",
            "telephone_number": "803-312-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLS",
        "first_name": "ALICIA",
        "middle_name": "SHANTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "7732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LLR",
            "identifier": "7732",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Slone, NP
• Karen Christina Slotter, PA-C
• Alexander Sluyter
• Lauren Mary Smallcomb, R.N.
• Megan Smalling, PHARM.D
• Justina E Smalls
• Kennette Smalls
• Latea Smalls
• Naomi Smalls, RN, BSN
• Shantia M Smalls, PTA

• Speech-Language Pathologist in Columbia, SC
• Providers in Columbia, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.