Active NPI
Amy Keller Hall, MCD, CCC-SLP
- Speech-Language Pathologist
- Sumter, SC
National Provider Identifier
1316372790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4964
- Practice address
- 1165 N Guignard Dr Ste 8
Sumter, SC 29150-1516 - Phone
- (803) 778-2724
- NPI assigned
- Sep 4, 2013
- Last updated
- Sep 4, 2013
- 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 | 4964 | SC | Primary |
Addresses
Primary practice location
1165 N Guignard Dr Ste 8
Sumter, SC 29150-1516
Mailing address
2360 Kings Mountain Dr
Dalzell, SC 29040-9679
Phone (803) 499-3812
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straight Talk, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Sumter, SC
- NPI 1295008944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1316372790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 KINGS MOUNTAIN DR",
"city": "DALZELL",
"state": "SC",
"postal_code": "290409679",
"telephone_number": "803-499-3812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 N GUIGNARD DR STE 8",
"city": "SUMTER",
"state": "SC",
"postal_code": "291501516",
"telephone_number": "803-778-2724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "AMY",
"middle_name": "KELLER",
"name_prefix": "Mrs.",
"credential": "MCD, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-04",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "4964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.