Individual provider Active NPI

Elan Hutchinson, CCC-SLP

  • Speech-Language Pathologist
  • Moncks Corner, SC
National Provider Identifier
1538682471
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6281 Issued in SC
Practice address
320 N Live Oak Dr
Moncks Corner, SC 29461-3696
Phone
(184) 389-9880
NPI assigned
Jul 23, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 6281 SC Primary

Addresses

Primary practice location

320 N Live Oak Dr
Moncks Corner, SC 29461-3696

Mailing address

10825 Dorchester Rd Apt 3047
Summerville, SC 29485-6072
Phone (904) 304-0057

Other practice location 1

2070 Northbrook Blvd
North Charleston, SC 29406-9252
Phone (843) 569-3033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240515000782 SC Practitioner - Qualified Speech Language Pathologist 8628419181 Reassigns benefits to 1 organization
I20260624004123 FL Practitioner - Qualified Speech Language Pathologist 8628419181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Speech Tool-Box LLCGroup PAC ID 6103267653, 3 clinicians

Practice addresses (Care Compare)

363 Granello Ave
Coral Gables, FL 33146-1806
Phone (786) 292-7324

9715 Brandishing Rd
Ladson, SC 29456-4448
Phone (202) 304-3971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6281SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Speech Tool-Box, LLC CurrentSince Feb 24, 2024 Accepting new patients

Locations

8088 Rivers Ave
North Charleston, SC 29406
Phone (202) 304-3971

Organizations & group practices 2

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": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1538682471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10825 DORCHESTER RD APT 3047",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294856072",
            "telephone_number": "904-304-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N LIVE OAK DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613696",
            "telephone_number": "184-389-9880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2070 Northbrook Blvd",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294069252",
            "country_code": "US",
            "telephone_number": "843-569-3033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "ELAN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.