Active NPI
Ivie Frazier
- Speech-Language Assistant
- Blythewood, SC
National Provider Identifier
1568244473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 8496
- Practice address
- 2502 Blythewood Crossing Lane
Apt. 1925
Blythewood, SC 29016-2901 - Phone
- (478) 284-6197
- NPI assigned
- Oct 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 Assistant | 2355S0801X | 8496 | SC | Primary |
Addresses
Primary practice location
2502 Blythewood Crossing Lane
Apt. 1925
Blythewood, SC 29016-2901
Mailing address
2502 Blythewood Crossing Lane
Apt. 1925
Blythewood, SC 29016
Phone (478) 284-6197
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8496 | SC | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1568244473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2502 BLYTHEWOOD CROSSING LANE",
"address_2": "APT. 1925",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "29016",
"telephone_number": "478-284-6197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2502 BLYTHEWOOD CROSSING LANE",
"address_2": "APT. 1925",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290162901",
"telephone_number": "478-284-6197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "IVIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-16",
"last_updated": "2023-10-16",
"certification_date": "2023-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "SC",
"license": "8496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blythewood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.