Organization Active NPI

Children'S Chatter, Speech-Language Therapy, LLC

  • Speech-Language Pathologist
  • Chapin, SC
National Provider Identifier
1336301548
Registry record updated Jun 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3902 Issued in SC
Legal business name
CHILDREN'S CHATTER, SPEECH-LANGUAGE THERAPY, LLC
Practice address
28 Kitfox CT
Chapin, SC 29036-7324
Phone
(803) 622-7939
NPI assigned
Jun 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2008

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

Authorized official

Name
Mrs. Sarah Komornik Smith, MSP, CCC-SLP
Title
Speech-Language Pathologist
Phone
(803) 622-7939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 3902 SC Primary

Addresses

Primary practice location

28 Kitfox CT
Chapin, SC 29036-7324

Mailing address

28 Kitfox CT
Chapin, SC 29036-7324
Phone (803) 622-7939

Other identifiers 2

IdentifierTypeStateIssuer
1083697767OtherSCINDIVIDUAL NPI NUMBER
SA0713MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214697600000",
    "number": "1336301548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 KITFOX CT",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290367324",
            "telephone_number": "803-622-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 KITFOX CT",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290367324",
            "telephone_number": "803-622-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CHATTER, SPEECH-LANGUAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-29",
        "last_updated": "2008-06-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "KOMORNIK",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "803-622-7939",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSP, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1083697767",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0713",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2008; 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.