Angela Renee Phelps, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3259 Issued in SC

Practice address

158 Pecan Dr
Summerville, SC 29483-5090

Phone

(843) 875-1605

NPI assigned

May 13, 2022

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

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.

• Speak Up Speech Therapy, LLC

  • Speech-Language Pathologist
  • Summerville, SC
  • NPI 1053043604
  NPD Authorized official

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1205573045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 PECAN DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294835090",
            "telephone_number": "843-875-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 PECAN DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294835090",
            "telephone_number": "843-875-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "ANGELA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill M Peterson, M.D.
• Lauren Peterson, DO
• Michelle Felice Peterson, APRN
• Janet M Petitte, MS CCC/A
• Donna Pettick, OTR/L
• Amberle Phillips
• Kay W. Phillips, PHD., LISW-CP
• Austin Philpott
• Nellie Phoenix-McCoy, BT
• Andrea C Pilch, OTR/L

• Speech-Language Pathologist in Summerville, SC
• Providers in Summerville, 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 May 13, 2022; 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.