Individual provider Active NPI

Casey Garvin, SLP

  • Speech-Language Pathologist
  • North Charleston, SC
National Provider Identifier
1508112665
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5045 Issued in SC
Practice address
9225 University Blvd
Ste E2C
North Charleston, SC 29406-9149
Phone
(843) 569-4546
Fax
(843) 569-4535
NPI assigned
Jul 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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 5045 SC Primary

Addresses

Primary practice location

9225 University Blvd
Ste E2C
North Charleston, SC 29406-9149

Mailing address

9225 University Blvd
Ste E2C
North Charleston, SC 29406-9149
Phone (843) 569-4546

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

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1508112665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 UNIVERSITY BLVD",
            "address_2": "STE E2C",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069149",
            "telephone_number": "843-569-4546",
            "fax_number": "843-569-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 UNIVERSITY BLVD",
            "address_2": "STE E2C",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069149",
            "telephone_number": "843-569-4546",
            "fax_number": "843-569-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVIN",
        "first_name": "CASEY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.