Individual provider Active NPI

Keri Skipper, SLP

  • Speech-Language Pathologist
  • Fountain Inn, SC
National Provider Identifier
1316495872
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6107 Issued in SC
Practice address
13105 Arbor Crest CT
Fountain Inn, SC 29644-9088
Phone
(864) 406-6769
NPI assigned
Sep 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6107 SC Primary

Addresses

Primary practice location

13105 Arbor Crest CT
Fountain Inn, SC 29644-9088

Mailing address

13105 Arbor Crest CT
Fountain Inn, SC 29644-9088
Phone (864) 406-6769

Other practice location 1

3203 Spring Lake Way
Goose Creek, SC 29445-3095
Phone (864) 320-0227

Other practice location 2

9565 Hwy 78 Bldg 700 Ste 102
Ladson, SC 29485
Phone (888) 510-6369

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

LicenseStateTypeSpecialty
6107SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Pediatric Therapy, LLC Speech-Language Pathologist CurrentSince Dec 6, 2020 Accepting new patients
Tri-County Therapy, LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1316495872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13105 ARBOR CREST CT",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296449088",
            "telephone_number": "864-406-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13105 ARBOR CREST CT",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296449088",
            "telephone_number": "864-406-6769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3203 Spring Lake Way",
            "address_purpose": "LOCATION",
            "city": "Goose Creek",
            "state": "SC",
            "postal_code": "294453095",
            "country_code": "US",
            "telephone_number": "864-320-0227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9565 Hwy 78 Bldg 700 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Ladson",
            "state": "SC",
            "postal_code": "29485",
            "country_code": "US",
            "telephone_number": "888-510-6369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKIPPER",
        "first_name": "KERI",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2020-10-07",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Inn, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.