Individual provider Active NPI

Sharon S Heffley

  • Speech-Language Pathologist
  • North Augusta, SC
National Provider Identifier
1457889917
Registry record updated May 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6217 Issued in SC
Practice address
350 Austin Graybill Rd
North Augusta, SC 29860-9251
Phone
(803) 341-5214
Fax
(803) 341-5214
NPI assigned
May 30, 2017
Last updated
May 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2017

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 6217 SC Primary

Addresses

Primary practice location

350 Austin Graybill Rd
North Augusta, SC 29860-9251

Mailing address

499 John Foxs Run
North Augusta, SC 29860-7539
Phone (803) 341-5214

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
6217SCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1457889917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 JOHN FOXS RUN",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298607539",
            "telephone_number": "803-341-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 AUSTIN GRAYBILL RD",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298609251",
            "telephone_number": "803-341-5214",
            "fax_number": "803-341-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFLEY",
        "first_name": "SHARON",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; 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.