Early Intervention Upstate Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

EARLY INTERVENTION UPSTATE INC.

Practice address

1400 Boiling Speings Rd Suite 10
Spartanburg, SC 29303

Phone

(864) 909-5260

Fax

(864) 752-1072

NPI assigned

May 8, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Tracy Ryan Bishop, EDD

Title

President

Phone

(864) 909-5260

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa C Bishop, MCD,CCC-SLP

  • Speech-Language Pathologist
  • Spartanburg, SC
  • NPI 1316035504
  NPD (past)

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1194414847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 CORIE CREST DR.",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "29316",
            "telephone_number": "864-909-5260",
            "fax_number": "864-752-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BOILING SPEINGS RD SUITE 10",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29303",
            "telephone_number": "864-909-5260",
            "fax_number": "864-752-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY INTERVENTION UPSTATE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-07",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-909-5260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coy Eaton, M.D.

• Early Intervention Provider Agency in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Early Intervention Provider Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.