Individual provider Active NPI

Beverly Pittard Fleming, MS, CCC-SLP

  • Speech-Language Pathologist
  • Greenville, SC
National Provider Identifier
1114080900
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4626 Issued in SC
Practice address
18 Rockhampton Dr
Greenville, SC 29607-6434
Phone
(864) 275-2510
Fax
(864) 627-8531
NPI assigned
Dec 19, 2006
Last updated
Aug 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6404 NC
Speech-Language Pathologist 235Z00000X 4626 SC Primary

Addresses

Primary practice location

18 Rockhampton Dr
Greenville, SC 29607-6434

Mailing address

18 Rockhampton Dr
Greenville, SC 29607-6434
Phone (864) 275-2510

Other identifiers 2

IdentifierTypeStateIssuer
SA1082MedicaidSC
7412193MedicaidNC

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4626SCMDSchool Psychologist
6404NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Paige's Speech & Language Therapy, P.a Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1114080900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ROCKHAMPTON DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076434",
            "telephone_number": "864-275-2510",
            "fax_number": "864-627-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ROCKHAMPTON DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076434",
            "telephone_number": "864-275-2510",
            "fax_number": "864-627-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "BEVERLY",
        "middle_name": "PITTARD",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6404",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA1082",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412193",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.