Tanisha Patrice Elmore, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4544 Issued in SC

Practice address

460 Flamingo Dr
Orangeburg, SC 29118-2108

Phone

(803) 378-1493

NPI assigned

Mar 1, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1609117571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 FLAMINGO DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182108",
            "telephone_number": "803-378-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 FLAMINGO DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182108",
            "telephone_number": "803-378-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "TANISHA",
        "middle_name": "PATRICE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lellan Dawes Edwards, D.M.D., M.S.
• Sonya Kay Ehrhardt, RN, DNP
• Sherry L Eisom, MN
• Jeremy Morry Eith, ATC
• Mona TW Ellis, DMD
• Anne Epting, MD
• Lee A Erbe, NP
• Thomas J Erickson, RPH
• Frank Estes, RPH
• Lisa Fanning Etheridge, FNP/APRN

• Speech-Language Pathologist in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.