Individual provider Active NPI

Sharon Fludd Jenkins, M.A., CCC-A

  • Assistive Technology Practitioner Audiologist
  • Orangeburg, SC
National Provider Identifier
1396163960
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Practitioner AudiologistTaxonomy code 231HA2400X
License
388 Issued in SC
Practice address
Speech Language Hearing Clinic
Scsu - 300 College St NE
Orangeburg, SC 29117-0001
Phone
(803) 536-8589
Fax
(803) 536-8357
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner Audiologist 231HA2400X 388 SC Primary

Addresses

Primary practice location

Speech Language Hearing Clinic
Scsu - 300 College St NE
Orangeburg, SC 29117-0001

Mailing address

Speech Language Hearing Clinic
Scsu - 300 College St NE
Orangeburg, SC 29117-0001
Phone (803) 536-8589

Other identifiers 2

IdentifierTypeStateIssuer
349987MedicaidSC
1033288402OtherSCNPI

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
388SCMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1396163960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SPEECH LANGUAGE HEARING CLINIC",
            "address_2": "SCSU - 300 COLLEGE ST NE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291170001",
            "telephone_number": "803-536-8589",
            "fax_number": "803-536-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SPEECH LANGUAGE HEARING CLINIC",
            "address_2": "SCSU - 300 COLLEGE ST NE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291170001",
            "telephone_number": "803-536-8589",
            "fax_number": "803-536-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "SHARON",
        "middle_name": "FLUDD",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "SC",
            "license": "388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349987",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033288402",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.