Carolina Kids Early Intervention LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

CAROLINA KIDS EARLY INTERVENTION LLC

Practice address

58 Drayton CT
Prosperity, SC 29127-9375

Phone

(803) 479-1463

NPI assigned

Apr 23, 2024

Last updated

Apr 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Speegle, EINPI 1831299486

Title

Owner

Phone

(803) 479-1463

Specialties & licenses 1

Addresses

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.

• Christine Speegle

  • Specialist
  • Lexington, SC
  • NPI 1831299486
  NPD Authorized official

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1104671924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 DRAYTON CT",
            "city": "PROSPERITY",
            "state": "SC",
            "postal_code": "291279375",
            "telephone_number": "803-479-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 DRAYTON CT",
            "city": "PROSPERITY",
            "state": "SC",
            "postal_code": "291279375",
            "telephone_number": "803-479-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA KIDS EARLY INTERVENTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "SPEEGLE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-479-1463",
        "authorized_official_credential": "EI"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Andrew Bearden
• Jaime Bedenbaugh, LPN
• Brooke Kali Bolin, SLP
• Kayce Kozma Bragg, MA, LPC, LAC
• Brannon Family Chiropractic LLC (Family Practice of Chiropractic Prosperity)
• Angela Boland Carraway, MCD, CCC-SLP
• Melissa Sue Carter
• Anthony Frank Chibbaro, D.M.D.
• Rhonda L Cook, FNP
• Dana Crawford

• Early Intervention Provider Agency in Prosperity, SC
• Providers in Prosperity, SC by specialty
• Early Intervention Provider Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.