Robin Newsome Etheredge, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4885 Issued in SC

Practice address

181 Town Creek Rd
Aiken, SC 29803-5841

Phone

(803) 642-0700

Fax

(803) 642-0588

NPI assigned

Dec 12, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Robin Newsome Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Pediatric Therapy of Aiken, LLC

  • Occupational Therapist
  • Aiken, SC
  • NPI 1164661609

  Speech-Language Pathologist

  NPD (past)
• Pediatric Therapy of Aiken, LLC

  • Durable Medical Equipment & Medical Supplies
  • Aiken, SC
  • NPI 1588002026
  NPD (past)

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487922035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 TOWN CREEK RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035841",
            "telephone_number": "803-642-0700",
            "fax_number": "803-642-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 TOWN CREEK RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035841",
            "telephone_number": "803-642-0700",
            "fax_number": "803-642-0588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6140 Woodside Executive Ct.",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298033820",
            "country_code": "US",
            "telephone_number": "803-642-0700",
            "fax_number": "803-642-0588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "714 S Lake Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290723473",
            "country_code": "US",
            "telephone_number": "803-356-4782",
            "fax_number": "803-996-4782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETHEREDGE",
        "first_name": "ROBIN",
        "middle_name": "NEWSOME",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "SC",
            "license": "4885",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4885",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "NEWSOME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eoj LLC
• Epps Maintenance
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• Hannah Rae Escobar, AUD
• Gregory Hubert Esselman, MD
• Christopher Michael Ethridge, DC
• Kevin Glenn Eubanks, D.M.D.
• Megan Allen Eubanks, OT
• Euphoria Naturals Modern Esthetics & Wellness
• Angela Evans

• Speech-Language Pathologist in Aiken, SC
• Providers in Aiken, 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 Mar 17, 2018; 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.