Individual provider Active NPI

Kathryn Kirschner Edwards, MS, CF-SLP

  • Speech-Language Pathologist
  • Mt Pleasant, SC
National Provider Identifier
1124336466
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4699 Issued in SC
Practice address
1233 Ben Sawyer Blvd
Suite 500
Mt Pleasant, SC 29464-4577
Phone
(843) 697-6640
Fax
(803) 675-0787
NPI assigned
Sep 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4699 SC Primary

Addresses

Primary practice location

1233 Ben Sawyer Blvd
Suite 500
Mt Pleasant, SC 29464-4577

Mailing address

1233 Ben Sawyer Blvd
Suite 500
Mt Pleasant, SC 29464-4577
Phone (843) 697-6640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240816003357 SC Practitioner - Qualified Speech Language Pathologist 1456899707 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Jul 1, 2024 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Jul 1, 2024 Accepting new patients
Allison Therapeutics, LLC Speech-Language Pathologist PastSince Sep 23, 2013 Accepting new patients

Locations

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1124336466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 BEN SAWYER BLVD",
            "address_2": "SUITE 500",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644577",
            "telephone_number": "843-697-6640",
            "fax_number": "803-675-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 BEN SAWYER BLVD",
            "address_2": "SUITE 500",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644577",
            "telephone_number": "843-697-6640",
            "fax_number": "803-675-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KATHRYN",
        "middle_name": "KIRSCHNER",
        "name_prefix": "Mrs.",
        "credential": "MS, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.