Organization Active NPI

Earthshine Speech and Language

  • Hearing and Speech Clinic/Center
  • Greenville, SC
National Provider Identifier
1538727417
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
EARTHSHINE SPEECH AND LANGUAGE
Practice address
1 Chick Springs Rd Ste 101
Greenville, SC 29609-4953
Phone
(770) 841-0564
NPI assigned
Jun 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Authorized official

Name
Afhton P Stetzer, MS, CCC-SLPNPI 1831574854
Title
Owner
Phone
(770) 841-0564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

1 Chick Springs Rd Ste 101
Greenville, SC 29609-4953

Mailing address

734 Bennett St
Greenville, SC 29609-5723
Phone (770) 841-0564

National Provider Directory

National Provider Directory

Locations

1 Chick Springs Rd
Ste 216A
Greenville, SC 29609

1 Chick Springs Rd
Ste 101
Greenville, SC 29609
Phone (770) 841-0564

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1538727417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 BENNETT ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095723",
            "telephone_number": "770-841-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHICK SPRINGS RD STE 101",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094953",
            "telephone_number": "770-841-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTHSHINE SPEECH AND LANGUAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "STETZER",
        "authorized_official_first_name": "AFHTON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-841-0564",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.