Active NPI
Tiffany Deanna Hines, PHD, CCC-SLP
- Speech-Language Pathologist
- Florence, SC
National Provider Identifier
1326412164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5017
- Practice address
- 201 W Evans St
Florence, SC 29501-3427 - Phone
- (843) 661-1123
- NPI assigned
- Nov 17, 2015
- Last updated
- Jun 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 5017 | SC | Primary |
Addresses
Primary practice location
201 W Evans St
Florence, SC 29501-3427
Mailing address
PO Box 100547
Florence, SC 29502-0547
Phone (843) 661-1123
Other practice location 1
120 Bellemere Pl
Piedmont, SC 29673-6903
Phone (864) 423-1317 ext. 75173
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5017 | SC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Francis Marion University | Current | Accepting new patients | |
| Francis Marion University | Speech-Language Pathologist | Current | Accepting new patients |
Locations
201 W Evans St
Florence, SC 29501
Phone (270) 557-6396
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Florence, SC
- NPI 1366033607
-
- Speech-Language Pathologist
- Florence, SC
- NPI 1538750880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1326412164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100547",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295020547",
"telephone_number": "843-661-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W EVANS ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295013427",
"telephone_number": "843-661-1123"
}
],
"practiceLocations": [
{
"address_1": "120 Bellemere Pl",
"address_purpose": "LOCATION",
"city": "Piedmont",
"state": "SC",
"postal_code": "296736903",
"country_code": "US",
"telephone_number": "864-423-1317 x75173",
"fax_number": "855-744-6705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HINES",
"first_name": "TIFFANY",
"middle_name": "DEANNA",
"name_prefix": "Dr.",
"credential": "PHD, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-17",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "5017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.