Active NPI
Caroline O'Connor McCourry, MSP, CCC-SLP
- Speech-Language Pathologist
- Conway, SC
National Provider Identifier
1073972899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5578
- Practice address
- 105 Sherwood Dr
Conway, SC 29526-3158 - Phone
- (843) 254-1890
- NPI assigned
- Feb 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5578 | SC | Primary |
Addresses
Primary practice location
105 Sherwood Dr
Conway, SC 29526-3158
Mailing address
105 Sherwood Dr
Conway, SC 29526-3158
Phone (843) 254-1890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5578 | SC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1073972899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 SHERWOOD DR",
"city": "CONWAY",
"state": "SC",
"postal_code": "295263158",
"telephone_number": "843-254-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 SHERWOOD DR",
"city": "CONWAY",
"state": "SC",
"postal_code": "295263158",
"telephone_number": "843-254-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOURRY",
"first_name": "CAROLINE",
"middle_name": "O'CONNOR",
"name_prefix": "Mrs.",
"credential": "MSP, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-22",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "5578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.