Katie Ledford Rodriguez

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7405 Issued in SC

Practice address

507 Patriot LN
Edgemoor, SC 29712-8704

Phone

(803) 367-6109

NPI assigned

Jul 28, 2023

Last updated

Jul 28, 2023By 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.

• Palmetto Speech and Swallowing Therapy, LLC

  • Speech-Language Pathologist
  • Rock Hill, SC
  • NPI 1346715547
  NPD (past)

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1083395396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 BRUSHY MOUNTAIN ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275197234",
            "telephone_number": "803-493-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 PATRIOT LN",
            "city": "EDGEMOOR",
            "state": "SC",
            "postal_code": "297128704",
            "telephone_number": "803-367-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KATIE",
        "middle_name": "LEDFORD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "7405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Hicklin, RD
• Thomas Anthony Martin, DDS
• Palmetto Nutrition Consultants, LLC
• Arron Pinkney
• Reset Community Wellness & Reentry Services, LLC
• Eileen Nicole Silva Rayo, PA-C
• The Reset Place

• Speech-Language Pathologist in Edgemoor, SC
• Providers in Edgemoor, 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 Jul 28, 2023; 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.