Active NPI
Just Flow Speech Pathology Services
- Speech-Language Pathologist
- Elgin, SC
National Provider Identifier
1053563320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4126
- Legal business name
- JUST FLOW SPEECH PATHOLOGY SERVICES
- Practice address
- 536 Silver Spoon LN
Elgin, SC 29045-7102 - Phone
- (843) 425-9900
- NPI assigned
- Oct 18, 2008
- Last updated
- Oct 18, 2008
- 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
- Ms. Fleurette Kenonta Washington, M.A., CCC-SLP
- Title
- Speech Language Pathologist/Owner
- Phone
- (843) 425-9900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4126 | SC | Primary |
Addresses
Primary practice location
536 Silver Spoon LN
Elgin, SC 29045-7102
Mailing address
536 Silver Spoon LN
Elgin, SC 29045-7102
Phone (843) 425-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013168632 | 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
- Elgin, SC
- NPI 1013168632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224288000000",
"number": "1053563320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 SILVER SPOON LN",
"city": "ELGIN",
"state": "SC",
"postal_code": "290457102",
"telephone_number": "843-425-9900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 SILVER SPOON LN",
"city": "ELGIN",
"state": "SC",
"postal_code": "290457102",
"telephone_number": "843-425-9900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUST FLOW SPEECH PATHOLOGY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-18",
"last_updated": "2008-10-18",
"status": "A",
"authorized_official_last_name": "WASHINGTON",
"authorized_official_first_name": "FLEURETTE",
"authorized_official_middle_name": "KENONTA",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
"authorized_official_telephone_number": "843-425-9900",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.A., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "4126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013168632",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.