Individual provider Active NPI

Tanya L Yost-Duncan, SLP

  • Speech-Language Pathologist
  • Rock Hill, SC
National Provider Identifier
1174710610
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2386 Issued in SC
Practice address
556 Jedburgh Way
Rock Hill, SC 29730-7475
Phone
(803) 980-5400
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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 2386 SC Primary

Addresses

Primary practice location

556 Jedburgh Way
Rock Hill, SC 29730-7475

Mailing address

556 Jedburgh Way
Rock Hill, SC 29730-7475
Phone (803) 980-5400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181001002193 SC Practitioner - Qualified Speech Language Pathologist 7719238740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Revo Rehab, IncGroup PAC ID 6608138847, 5 clinicians

Practice addresses (Care Compare)

1317 Ebenezer Rd
Rock Hill, SC 29732-2336
Phone (803) 207-8177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2386SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Revo Rehab, Inc CurrentSince Jul 23, 2018 Accepting new patients

Locations

1317 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 207-8177

Organizations & group practices 1

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": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1174710610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 JEDBURGH WAY",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297307475",
            "telephone_number": "803-980-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 JEDBURGH WAY",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297307475",
            "telephone_number": "803-980-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOST-DUNCAN",
        "first_name": "TANYA",
        "middle_name": "L",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "2386",
            "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 Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.