Individual provider Active NPI

Candace Stewart Fladger, MCD, CCC-SLP

  • Speech-Language Pathologist
  • Summerville, SC
National Provider Identifier
1487085742
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4639 Issued in SC
Practice address
1325 Boone Hill Rd Ste C
Summerville, SC 29483-2490
Phone
(843) 875-4161
NPI assigned
Dec 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 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 4639 SC Primary

Addresses

Primary practice location

1325 Boone Hill Rd Ste C
Summerville, SC 29483-2490

Mailing address

1325 Boone Hill Rd Ste C
Summerville, SC 29483-2490
Phone (843) 875-4161

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
4639SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dorchester School District Two Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1487085742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 BOONE HILL RD STE C",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294832490",
            "telephone_number": "843-875-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 BOONE HILL RD STE C",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294832490",
            "telephone_number": "843-875-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLADGER",
        "first_name": "CANDACE",
        "middle_name": "STEWART",
        "credential": "MCD, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.