Active NPI
Gwendolyn Barton Bozeman, M.A., B.S.
- Speech-Language Assistant
- Mauldin, SC
National Provider Identifier
1447543616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 4870
- Practice address
- 410 E Butler Rd
Mauldin, SC 29662-3250 - Phone
- (864) 569-1599
- NPI assigned
- May 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 4870 | SC | Primary |
Addresses
Primary practice location
410 E Butler Rd
Mauldin, SC 29662-3250
Mailing address
1 Hushpah CT
Simpsonville, SC 29680-7382
Phone (864) 569-1599
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
- Bachelor of Science, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4870 | SC | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306022400000",
"number": "1447543616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HUSHPAH CT",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296807382",
"telephone_number": "864-569-1599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 E BUTLER RD",
"city": "MAULDIN",
"state": "SC",
"postal_code": "296623250",
"telephone_number": "864-569-1599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOZEMAN",
"first_name": "GWENDOLYN",
"middle_name": "BARTON",
"name_prefix": "Mrs.",
"credential": "M.A., B.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-22",
"last_updated": "2011-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "SC",
"license": "4870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mauldin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.