Active NPI
Communication Station, LLC
- Speech-Language Pathologist
- Orangeburg, SC
National Provider Identifier
1033444666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- COMMUNICATION STATION, LLC
- Practice address
- 1064 Oaklane Dr
Orangeburg, SC 29115-8119 - Phone
- (803) 707-3264
- NPI assigned
- Oct 15, 2009
- Last updated
- Oct 15, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Angela Tanner Bradley, CCC-SLP
- Title
- Speech Pathologist/Lead Clinician
- Phone
- (803) 707-3264
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
1064 Oaklane Dr
Orangeburg, SC 29115-8119
Mailing address
1064 Oaklane Dr
Orangeburg, SC 29115
Phone (803) 707-3264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023172376 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Orangeburg, SC
- NPI 1023172376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255564800000",
"number": "1033444666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1064 OAKLANE DR",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "29115",
"telephone_number": "803-707-3264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1064 OAKLANE DR",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291158119",
"telephone_number": "803-707-3264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNICATION STATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-15",
"last_updated": "2009-10-15",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "TANNER",
"authorized_official_title_or_position": "SPEECH PATHOLOGIST/LEAD CLINICIAN",
"authorized_official_telephone_number": "803-707-3264",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023172376",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.