Active NPI
Rebecca Stevenson, CCC-SLP
- Speech-Language Pathologist
- Lancaster, SC
National Provider Identifier
1306882162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 637
- Practice address
- 2018 Fairway Dr
Lancaster, SC 29720-8419 - Phone
- (843) 455-7505
- Fax
- (866) 668-9946
- NPI assigned
- Jun 21, 2006
- 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 | 637 | SC | Primary |
Addresses
Primary practice location
2018 Fairway Dr
Lancaster, SC 29720-8419
Mailing address
2018 Fairway Dr
Lancaster, SC 29720-8419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA0101 | 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 637 | SC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306882162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2018 FAIRWAY DR",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297208419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 FAIRWAY DR",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297208419",
"telephone_number": "843-455-7505",
"fax_number": "866-668-9946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "REBECCA",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA0101",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.