Charlise Yvette Anderson, M.C.D, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5175 Issued in SC

Practice address

916 Beverly Dr
Spartanburg, SC 29303-2506

Phone

(864) 573-9650

NPI assigned

Mar 12, 2014

Last updated

Mar 28, 2014By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Savvy Pediatric Therapy and Learning Solutions, LLC

  • Speech-Language Pathologist
  • Spartanburg, SC
  • NPI 1710464805
  NPD (past) Authorized official

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1043636137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 BEVERLY DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032506",
            "telephone_number": "864-573-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 BEVERLY DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032506",
            "telephone_number": "864-573-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHARLISE",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "M.C.D, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amnesty Health Group LLC
• Kenyetta Amos, PHLEBOTOMIST
• Choncharoen Amphan, MD
• Anchoring Within, LLC
• Brian Philip Anderson, DO
• Cyndi Jenay Anderson, DNP, APRN, FNP-BC
• David Guy Anderson, MD
• Deborah Temples Anderson, FNP-C
• Edirin G Anderson, DDS
• Erin Anderson, M.D.

• Speech-Language Pathologist in Spartanburg, SC
• Providers in Spartanburg, 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 Mar 28, 2014; 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.