Active NPI
Caroline Smith
- Speech-Language Pathologist
- Spartanburg, SC
National Provider Identifier
1265864367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5293
- Practice address
- 2400 Winchester PL
Suite 102
Spartanburg, SC 29301 - Phone
- (864) 576-7188
- Fax
- (864) 576-8909
- NPI assigned
- Jul 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 5293 | SC | Primary |
Addresses
Primary practice location
2400 Winchester PL
Suite 102
Spartanburg, SC 29301
Mailing address
519 Poplar St
Spartanburg, SC 29302-2738
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167970135783 | Medicaid | SC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5293 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1265864367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 POPLAR ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293022738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 WINCHESTER PL",
"address_2": "SUITE 102",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "29301",
"telephone_number": "864-576-7188",
"fax_number": "864-576-8909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CAROLINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-31",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "5293",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167970135783",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.