NPIMap

Organization Active NPI

Lizzy E and Friends

  • Speech-Language Pathologist
  • Rock Hill, SC
National Provider Identifier
1154728657
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4676 Issued in SC
Legal business name
LIZZY E AND FRIENDS
Practice address
714 Beckham Lane Suite 404
Rock Hill, SC 29732-3248
Phone
(803) 387-1460
NPI assigned
Nov 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Ensley GravesNPI 1295177897
Title
Founder
Phone
(803) 387-1460

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 PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 4676 SC Primary

Addresses

Primary practice location

714 Beckham Lane Suite 404
Rock Hill, SC 29732-3248

Mailing address

714 Beckham Lane Suite 404
Rock Hill, SC 29732-3248
Phone (803) 387-1460

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1154728657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 BECKHAM LANE SUITE 404",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323248",
            "telephone_number": "803-387-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 BECKHAM LANE SUITE 404",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323248",
            "telephone_number": "803-387-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZZY E AND FRIENDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "ENSLEY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "803-387-1460"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.