NPIMap

Organization Active NPI

Carolina Speech Therapy Associates SC,Inc

  • Speech-Language Pathologist
  • Sumter, SC
National Provider Identifier
1114245057
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3544 Issued in SC
Legal business name
CAROLINA SPEECH THERAPY ASSOCIATES SC,INC
Practice address
644 Bultman Dr
Sumter, SC 29150-2550
Phone
(803) 774-0228
Fax
(803) 774-0229
NPI assigned
May 15, 2010
Last updated
May 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
Mrs. Valerie E Moses, CCC-SLPNPI 1710154976
Title
Speech/Language Pathologist
Phone
(803) 774-0228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3544 SC Primary

Addresses

Primary practice location

644 Bultman Dr
Sumter, SC 29150-2550

Mailing address

644 Bultman Dr
Sumter, SC 29150-2550
Phone (803) 774-0228

Other identifiers 1

IdentifierTypeStateIssuer
SA0615MedicaidSC

National Provider Directory

National Provider Directory

Locations

644 Bultman Dr
Sumter, SC 29150
Phone (803) 774-0228

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1273881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1114245057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 BULTMAN DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502550",
            "telephone_number": "803-774-0228",
            "fax_number": "803-774-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 BULTMAN DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502550",
            "telephone_number": "803-774-0228",
            "fax_number": "803-774-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SPEECH THERAPY ASSOCIATES SC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-15",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SPEECH/LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "803-774-0228",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0615",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.