Kristina Smith, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

200 Lucy P Edwards Rd
Woodruff, SC 29388-8220

Phone

(864) 476-3186

NPI assigned

Aug 21, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1194158519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LUCY P EDWARDS RD",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293888220",
            "telephone_number": "864-476-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LUCY P EDWARDS RD",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293888220",
            "telephone_number": "864-476-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTINA",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pramila Gajanan Shanbhag, MD
• Laura Shields
• Toshiva Deshane Shippy, FNP
• Lindsay Jeanne Small, MA, BCBA
• Jonathan Gregory Smith, DMD, MHS
• Susan Lucille Smith, PT
• South Carolina CVS Pharmacy LLC (CVS Pharmacy # 02446)
• South Carolina Post Acute Medical Services 1 PC
• Spartanburg County School District Four
• Spartanburg Medical Center (Medical Group of the Carolinas - Family Medicine - Woodruff)

• Speech-Language Pathologist in Woodruff, SC
• Providers in Woodruff, 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 Sep 9, 2013; 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.