Organization Active NPI

Kids Intervention Transition

  • Speech-Language Pathologist
  • Columbia, SC
National Provider Identifier
1184757619
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
09428 Issued in SC
Legal business name
KIDS INTERVENTION TRANSITION
Practice address
2144 Leesburg Rd
Columbia, SC 29209-2970
Phone
(803) 647-9515
NPI assigned
Mar 13, 2007
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Mrs. Brenda Green Carner, M.EDCCCSLP
Title
President
Phone
(803) 647-9515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 09428 SC Primary

Addresses

Primary practice location

2144 Leesburg Rd
Columbia, SC 29209-2970

Mailing address

2144 Leesburg Rd
Columbia, SC 29209-2970
Phone (803) 647-9515

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1184757619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 LEESBURG RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092970",
            "telephone_number": "803-647-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 LEESBURG RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092970",
            "telephone_number": "803-647-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS INTERVENTION TRANSITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "GREEN CARNER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-647-9515",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.EDCCCSLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "09428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.