Active NPI
Evelyn Duran
- Speech-Language Assistant
- Greenville, SC
National Provider Identifier
1164151189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLP.7995SPA
- Practice address
- 319 Garlington Rd
Greenville, SC 29615-4620 - Phone
- (864) 417-8423
- NPI assigned
- Jun 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 Assistant | 2355S0801X | SLP.7995SPA | SC | Primary |
Addresses
Primary practice location
319 Garlington Rd
Greenville, SC 29615-4620
Mailing address
120 Varner Rd
Woodruff, SC 29388-8950
Phone (864) 266-8978
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP.7995SPA | SC | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1164151189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 VARNER RD",
"city": "WOODRUFF",
"state": "SC",
"postal_code": "293888950",
"telephone_number": "864-266-8978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 GARLINGTON RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154620",
"telephone_number": "864-417-8423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "EVELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "SC",
"license": "SLP.7995SPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.