Andrea Kittye Stanley

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

200 Lucy P Edwards Rd
Woodruff, SC 29388-8220

Phone

(864) 476-3174

NPI assigned

Aug 16, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1326471046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LUCY P EDWARDS RD",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293888220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LUCY P EDWARDS RD",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293888220",
            "telephone_number": "864-476-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "ANDREA",
        "middle_name": "KITTYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lucille Smith, PT
• South Carolina CVS Pharmacy LLC (CVS Pharmacy # 02446)
• South Carolina Post Acute Medical Services 1 PC
• Spartanburg County School District Four
• Spartanburg Medical Center (Medical Group of the Carolinas - Family Medicine - Woodruff)
• Anna M Stoudenmire, MA
• Kelsey Starr Stroud, M.ED., BCBA
• Matthew Sullivan, PT
• The Tribe of South Carolina Home Care LLC (The Tribe)
• Thomas Fordham Brewer MD PLLC

• Speech-Language Assistant in Woodruff, SC
• Providers in Woodruff, SC by specialty
• Speech-Language Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.