Kristin White, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5314 Issued in SC

Practice address

153 E N B Baroody St
Florence, SC 29506-2523

Phone

(843) 662-7802

NPI assigned

Oct 17, 2016

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Pee Dee Hearing Center

  • Audiologist
  • Florence, SC
  • NPI 1255545406
  NPD (past)

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1194276972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 COVE POINTE DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295017575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E N B BAROODY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062523",
            "telephone_number": "843-662-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KRISTIN",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah L. Wheeler, M.D.
• Brent H White
• Chadwick L White, DC
• Jamala Saran White, CPT
• Kenya White
• Laquita S White, FNP, NE
• Loy William White Jr., COTA/L
• Nicholas R. White, M.D.
• Robin White
• Wanda B White

• Speech-Language Pathologist in Florence, SC
• Providers in Florence, 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 Oct 17, 2016; 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.