Active NPI
David Alan Eoute Jr., MSP, SLP-CFY
- Speech-Language Pathologist
- Columbia, SC
National Provider Identifier
1114173994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4191
- Practice address
- 1601 Saint Julian PL
Columbia, SC 29204-2407 - Phone
- (803) 777-2614
- Fax
- (803) 253-4143
- NPI assigned
- Aug 13, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4191 | SC | Primary |
Addresses
Primary practice location
1601 Saint Julian PL
Columbia, SC 29204-2407
Mailing address
1601 Saint Julian PL
Columbia, SC 29204-2407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558331264 | Other | NPPES |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of South Carolina System | 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 and National Provider Directory roles.
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- NPI 1881857027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1114173994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 SAINT JULIAN PL",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 SAINT JULIAN PL",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042407",
"telephone_number": "803-777-2614",
"fax_number": "803-253-4143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EOUTE",
"first_name": "DAVID",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MSP, SLP-CFY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-13",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "4191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1558331264",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.