Active NPI
Carla Lynn Pittman, MS, CCC-SLP
- Speech-Language Pathologist
- Spartanburg, SC
National Provider Identifier
1568110583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3255
- Practice address
- 905 E Main St
Spartanburg, SC 29302-2182 - Phone
- (865) 582-5936
- NPI assigned
- Mar 17, 2022
- Last updated
- Mar 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3255 | SC | Primary |
Addresses
Primary practice location
905 E Main St
Spartanburg, SC 29302-2182
Mailing address
440 West Rd
Roebuck, SC 29376-3725
Phone (864) 205-4408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3709 Clark Rd
Boiling Springs, SC 29316-9787
Phone (864) 345-2701
872 Singleton Ridge Rd
Conway, SC 29526-1101
Phone (610) 438-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
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.
-
- Physical Therapist
- Bluffton, SC
- NPI 1073957064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1568110583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 WEST RD",
"city": "ROEBUCK",
"state": "SC",
"postal_code": "293763725",
"telephone_number": "864-205-4408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 E MAIN ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293022182",
"telephone_number": "865-582-5936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "CARLA",
"middle_name": "LYNN",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-17",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "3255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
- Pinnacle Capital Holdings (Premier Inpatient Medicine)
- Pinnacle Capital Holdings (Premier Inpatient Medicine)
- Phillip Steve Pipenko, PA-C
- Lasurma Pippins, LISW-CP
- Katherine Alexandra Pischke-Thomas, DMD
- David B Pitts, MD
- Kristen Deyoung Pitts, MD
- Stephanie Hodgson Pitts, APRN
- Pivot Quickly Homecare Sevices LLC
- Plastic Surgery Center of the Carolinas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.