Active NPI
Beverly Pittard Fleming, MS, CCC-SLP
- Speech-Language Pathologist
- Greenville, SC
National Provider Identifier
1114080900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4626
- 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, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA1082 | Medicaid | SC | |
| 7412193 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4626 | SC | MD | School Psychologist |
| 6404 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Speech-Language Pathologist
- Greenville, SC
- NPI 1598024689
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.