Nicole G. Bennett, M.C.D, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3187 Issued in SC

Practice address

500 Barry Ave
Hampton, SC 29924-3810

Phone

(803) 943-0706

NPI assigned

May 20, 2006

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nicole G Bennett, LLC

  • Speech-Language Pathologist
  • Hampton, SC
  • NPI 1891906798
  NPD (past) Authorized official

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023062437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BARRY AVE",
            "city": "HAMPTON",
            "state": "SC",
            "postal_code": "299243810",
            "telephone_number": "803-943-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BARRY AVE",
            "city": "HAMPTON",
            "state": "SC",
            "postal_code": "299243810",
            "telephone_number": "803-943-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "NICOLE",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "M.C.D, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0515",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aftercare Home Medical Equipment Inc.
• Angel Arms Non Medical & Home Health SVC LLC
• Beaufort Jasper Hampton Comprehensive Health Services, Inc.
• Beaufort Pharmacy and Compounding LLC
• Carrie Bess Benton, PTA
• Brittany Bernardino, PHARMD
• Mary L Bowen, APRN
• Gerald Vance Boyles, D.C.
• Susan R Britt, PHARM.D

• All providers in Hampton, SC
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.