NPIMap

Organization Active NPI

Palmetto Speech and Language Services

  • Early Intervention Provider Agency
  • Ridgeland, SC
National Provider Identifier
1053735936
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
4726 Issued in SC
Legal business name
PALMETTO SPEECH AND LANGUAGE SERVICES
Practice address
10616 S Jacob Smart Blvd
Suite 103
Ridgeland, SC 29936-8477
Phone
(843) 645-8255
NPI assigned
Feb 12, 2014
Last updated
Feb 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Authorized official

Name
Kelly Barrell, CCC-SLP
Title
Owner/Speech-Language Pathologist
Phone
(843) 645-8255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 4726 SC Primary

Addresses

Primary practice location

10616 S Jacob Smart Blvd
Suite 103
Ridgeland, SC 29936-8477

Mailing address

10616 S Jacob Smart Blvd
Suite 103
Ridgeland, SC 29936-8477
Phone (843) 645-8255

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1053735936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10616 S JACOB SMART BLVD",
            "address_2": "SUITE 103",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368477",
            "telephone_number": "843-645-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10616 S JACOB SMART BLVD",
            "address_2": "SUITE 103",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368477",
            "telephone_number": "843-645-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO SPEECH AND LANGUAGE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "BARRELL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "843-645-8255",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "SC",
            "license": "4726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.