Individual provider Active NPI

Cassandra Hrtyanski

  • Speech-Language Pathologist
  • Anderson, SC
National Provider Identifier
1245883115
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6821 Issued in SC
Practice address
1401 Bolt Dr
Anderson, SC 29621-6912
Phone
(740) 981-6244
NPI assigned
Jul 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6821 SC Primary

Addresses

Primary practice location

1401 Bolt Dr
Anderson, SC 29621-6912

Mailing address

3300 North Main Street
Suite D PMB 216
Anderson, SC 29621

Other names 1

  • Cassandra Rose Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cassandrarose@anderson5.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6821SCMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1245883115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 NORTH MAIN STREET",
            "address_2": "SUITE D PMB 216",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "29621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BOLT DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296216912",
            "telephone_number": "740-981-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRTYANSKI",
        "first_name": "CASSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cassandrarose@anderson5.net",
            "affiliation": "N",
            "address_1": "1401 Bolt Dr",
            "city": "Anderson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296216912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.