Active NPI
Cassandra E Ford
- Speech-Language Pathologist
- Blythewood, SC
National Provider Identifier
1255825915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6559
- Practice address
- 156 Coatbridge Dr
Blythewood, SC 29016-9168 - Phone
- (803) 404-1175
- NPI assigned
- Jun 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6559 | SC | Primary |
| Speech-Language Pathologist | 235Z00000X | 2828 | NE |
Addresses
Primary practice location
156 Coatbridge Dr
Blythewood, SC 29016-9168
Mailing address
156 Coatbridge Dr
Blythewood, SC 29016-9168
Phone (803) 404-1175
Other names 1
- Cassandra E Andrews
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6559 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1255825915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 COATBRIDGE DR",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290169168",
"telephone_number": "803-404-1175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 COATBRIDGE DR",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290169168",
"telephone_number": "803-404-1175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "CASSANDRA",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-17",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "6559",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "2828",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "ANDREWS",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Blythewood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.