Individual provider Active NPI

Atiana McBride-Tobiere

  • Speech-Language Pathologist
  • Rock Hill, SC
National Provider Identifier
1083230791
Registry record updated Aug 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7584 Issued in SC
Practice address
1915 Ebenezer Rd
Rock Hill, SC 29732-1013
Phone
(803) 366-8155
NPI assigned
Jun 18, 2020
Last updated
Aug 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7231 SC
Speech-Language Pathologist 235Z00000X 15014 NC
Speech-Language Pathologist 235Z00000X 7584 SC Primary

Addresses

Primary practice location

1915 Ebenezer Rd
Rock Hill, SC 29732-1013

Mailing address

3360 Langston St
Dalzell, SC 29040-9310
Phone (803) 464-7202

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
7231SCMDPharmacist
7584SCMDPhysical Therapist
15014NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628380800000",
    "number": "1083230791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 LANGSTON ST",
            "city": "DALZELL",
            "state": "SC",
            "postal_code": "290409310",
            "telephone_number": "803-464-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321013",
            "telephone_number": "803-366-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE-TOBIERE",
        "first_name": "ATIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "7231",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "15014",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "7584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2021; 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.