Carrie Niles, MA-SLP
Individual provider Active NPI Speech-Language Pathologist · Hayti, SD
NPI 1407302102 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1407302102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 240-LIMITED (SD)
- Practice address
- 310 5TH St
Hayti, SD 57241 - Phone
- (605) 783-3607
- Fax
- (605) 783-3259
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240-LIMITED | SD | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 240-LIMITED | SD | Yes |
Addresses
Primary practice location
310 5TH St
Hayti, SD 57241
Mailing address
PO Box 327
Hayti, SD 57241-0327
Phone (605) 783-3607
Other providers in Hayti, SD
- Kari Holden
- Alysha Johnson
- Cheryl Keller-Knudson
- Deb Jean Lauseng
- Lois Marie Lux
- Talli Anne Raml
- Marci Saathoff
- Rochelle Schmidt
- Lori Seppala
- Deb Tiefenthaler
All providers in Hayti, SD · Speech-Language Pathologist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.