Active NPI
Maureen Pilgrim Sell, CCC-SLP
- Speech-Language Pathologist
- Lake Wylie, SC
National Provider Identifier
1326299116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4388
- Practice address
- 4877 Charlotte Hwy
Lake Wylie, SC 29710-8096 - Phone
- (803) 831-9900
- NPI assigned
- Oct 10, 2008
- 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 | 4388 | SC | Primary |
Addresses
Primary practice location
4877 Charlotte Hwy
Lake Wylie, SC 29710-8096
Mailing address
530 Morning Glory CT
Lake Wylie, SC 29710-6085
Phone (704) 578-4757
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4388 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415145600000",
"number": "1326299116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 MORNING GLORY CT",
"city": "LAKE WYLIE",
"state": "SC",
"postal_code": "297106085",
"telephone_number": "704-578-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4877 CHARLOTTE HWY",
"city": "LAKE WYLIE",
"state": "SC",
"postal_code": "297108096",
"telephone_number": "803-831-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELL",
"first_name": "MAUREEN",
"middle_name": "PILGRIM",
"name_prefix": "Ms.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-10",
"last_updated": "2014-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "4388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Wylie, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.