Active NPI
Kerri Carder, M.S. CCC-SLP
- Speech-Language Pathologist
- Indian Land, SC
National Provider Identifier
1265776397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9303
- Practice address
- 1162 Fort Mill Hwy
Indian Land, SC 29707-7697 - Phone
- (803) 548-9113
- NPI assigned
- Nov 15, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9303 | NC | Primary |
Addresses
Primary practice location
1162 Fort Mill Hwy
Indian Land, SC 29707-7697
Mailing address
2601 Grimes St
Charlotte, NC 28206-2554
Phone (386) 566-7605
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9303 | NC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1265776397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 GRIMES ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282062554",
"telephone_number": "386-566-7605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1162 FORT MILL HWY",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297077697",
"telephone_number": "803-548-9113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDER",
"first_name": "KERRI",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "9303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indian Land, SC
- Colleen Marie Caffrey-Thrasher, LAC. DIPLAC, MAC
- Stephen Calderalo
- Calloway Primary Care & Wellness LLC
- Cassandra Nicole Calloway, FNP
- James Matthew Candon III, D.D.S
- Caregivers of Carolina LLC
- Matthew Richard Carlisle, DMD
- Carolina Integrative Health Care LLC
- Carolina Orthopaedic Surgery Associates, PA
- Carolina Podiatry Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.