Active NPI
Children'S Chatter, Speech-Language Therapy, LLC
- Speech-Language Pathologist
- Chapin, SC
National Provider Identifier
1336301548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3902
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083697767 | Other | SC | INDIVIDUAL NPI NUMBER |
| SA0713 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI 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.