Katherine Bryant Edge, MSP CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4206 Issued in SC

Practice address

829 Riven Oak Drive
Murrells Inlet, SC 29576

Phone

(843) 457-8292

NPI assigned

Feb 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pearl Rehabilitation LLC

  • Physical Therapy Assistant
  • N Charleston, SC
  • NPI 1962635656
  NPD (past)

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

{
    "created_epoch": "1329609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1467725697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 RIVEN OAK DR",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767750",
            "telephone_number": "843-457-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 RIVEN OAK DRIVE",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "29576",
            "telephone_number": "843-457-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGE",
        "first_name": "KATHERINE",
        "middle_name": "BRYANT",
        "credential": "MSP CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-19",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dragonfly Medical Massage Therapy
• Amanda Guyton Drosieko, MD
• Amy Dudzinski, CRNA
• Dunes Podiatry LLC
• Kimberly Irene Dymond, PT
• Michael Edgerton, D.C.
• Jamie Edwards, RN
• Malcolm Daniel Eggart, M.D.
• Amy Elder, LISW
• Elite Speech LLC

• Speech-Language Pathologist in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.