Organization Active NPI

Speech Success, LLC

  • Speech-Language Pathologist
  • Columbia, SC
National Provider Identifier
1265709331
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4521 Issued in SC
Legal business name
SPEECH SUCCESS, LLC
Practice address
1511 Wheeler Rd
Columbia, SC 29204-3724
Phone
(843) 870-9157
NPI assigned
Nov 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Sarah S. Gaillard, M.S., CCC-SLP
Title
Speech Language Pathologist
Phone
(843) 870-9157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 4521 SC Primary

Addresses

Primary practice location

1511 Wheeler Rd
Columbia, SC 29204-3724

Mailing address

1511 Wheeler Rd
Columbia, SC 29204-3724
Phone (843) 870-9157

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1265709331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 WHEELER RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292043724",
            "telephone_number": "843-870-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 WHEELER RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292043724",
            "telephone_number": "843-870-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH SUCCESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "GAILLARD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "843-870-9157",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.