Morgan Blount
Individual provider Active NPI Speech-Language Pathologist · Anderson, SC
NPI 1316637291 · NPPES record last updated May 12, 2023
Key facts
- NPI
- 1316637291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 5398 (SC)
- Practice address
- 130 Hawk Ridge Dr
Anderson, SC 29621-4968 - Phone
- (864) 680-5654
- NPI assigned
- May 12, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5398 | SC | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5398 | SC | Yes |
Addresses
Primary practice location
130 Hawk Ridge Dr
Anderson, SC 29621-4968
Mailing address
130 Hawk Ridge Dr
Anderson, SC 29621-4968
Phone (864) 680-5654
NPI Registry JSON
{
"created_epoch": "1683849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1316637291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 HAWK RIDGE DR",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296214968",
"telephone_number": "864-680-5654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 HAWK RIDGE DR",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296214968",
"telephone_number": "864-680-5654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOUNT",
"first_name": "MORGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-12",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "5398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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All providers in Anderson, SC · Speech-Language Pathologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.