Abby Bishop, MA CCC-SLP, CLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4602 Issued in SC

Practice address

989 Ribaut Rd
Beaufort, SC 29902-5472

Phone

(803) 642-0700

NPI assigned

Dec 9, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1134422348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EDISTO CT",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299093754",
            "telephone_number": "330-858-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025472",
            "telephone_number": "803-642-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "ABBY",
        "credential": "MA CCC-SLP, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-09",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED LACTATION COUNSELOR",
            "identifier": "ALPP-224987",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "14025603",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP",
            "identifier": "4602",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric B. Billig, MD
• Mackenzie Taylor Bilyard, PTA
• Tenisha Donte Bing
• Kathleen Bingham, BSW
• Kathryn Ann Bird, DDS
• Benjamin Logan Bishop
• William Benjamin Bishop III, PT, MSR
• Deborah Black, LMT
• Tara Christine Blackburn, PTA
• Clyde P. Blalock, MD

• Speech-Language Pathologist in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.