Individual provider Active NPI

Courtney Drumheller

  • Speech-Language Pathologist
  • Mount Pleasant, SC
National Provider Identifier
1366998486
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5541 Issued in SC
Practice address
3579 Franklin Tower Dr
Mount Pleasant, SC 29466-9383
Phone
(843) 810-9198
Fax
(855) 279-3149
NPI assigned
Aug 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5541 SC Primary

Addresses

Primary practice location

3579 Franklin Tower Dr
Mount Pleasant, SC 29466-9383

Mailing address

3579 Franklin Tower Dr
Mount Pleasant, SC 29466-9383
Phone (843) 810-9198

Other identifiers 1

IdentifierTypeStateIssuer
SA1775MedicaidSC

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

LicenseStateTypeSpecialty
5541SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dietrich Speech & Language Services, LLC Speech-Language Pathologist PastSince Jul 27, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1366998486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3579 FRANKLIN TOWER DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294669383",
            "telephone_number": "843-810-9198",
            "fax_number": "855-279-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3579 FRANKLIN TOWER DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294669383",
            "telephone_number": "843-810-9198",
            "fax_number": "855-279-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUMHELLER",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA1775",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.