Mildred M Jodar, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6665 Issued in SC

Practice address

319 Garlington Rd Ste B5
Greenville, SC 29615-4621

Phone

(864) 417-8423

NPI assigned

Nov 23, 2020

Last updated

Nov 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1285238998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HENDERSON AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051621",
            "telephone_number": "864-477-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 GARLINGTON RD STE B5",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154621",
            "telephone_number": "864-417-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JODAR",
        "first_name": "MILDRED",
        "middle_name": "M",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Denise Jeter, COTA/L
• Lawana M Jeter
• Juanita Jimenez-Velez
• Meenu Jindal, M.D.
• Andrea Gina Joaquim, PA-C
• John a Crumpton DMD PA
• John E Carey MD PA
• John E Epps, LLC
• John L. Glymph, Jr., D.M.D., P.a.
• John R Rowell Md21640

• Speech-Language Pathologist in Greenville, SC
• Providers in Greenville, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.