Active NPI
Tyke Talk, LLC
- Speech-Language Pathologist
- Lexington, SC
National Provider Identifier
1619105137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3537
- Legal business name
- TYKE TALK, LLC
- Practice address
- 100 Old Cherokee Rd
Suite F, Box 172
Lexington, SC 29072-9316 - Phone
- (803) 467-8596
- Fax
- (803) 356-0468
- NPI assigned
- Jun 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin T. Vance, M.A. CCC-SLP
- Title
- Speech-Langage Pathologist/Owner
- Phone
- (803) 467-8596
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3537 | SC | Primary |
Addresses
Primary practice location
100 Old Cherokee Rd
Suite F, Box 172
Lexington, SC 29072-9316
Mailing address
100 Old Cherokee Rd
Suite F, Box 172
Lexington, SC 29072-9316
Phone (803) 467-8596
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA0661 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
100 Old Cherokee Rd
Ste F
Lexington, SC 29072
Phone (803) 808-2304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245715200000",
"number": "1619105137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 OLD CHEROKEE RD",
"address_2": "SUITE F, BOX 172",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290729316",
"telephone_number": "803-467-8596",
"fax_number": "803-356-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OLD CHEROKEE RD",
"address_2": "SUITE F, BOX 172",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290729316",
"telephone_number": "803-467-8596",
"fax_number": "803-356-0468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TYKE TALK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-23",
"last_updated": "2009-06-23",
"status": "A",
"authorized_official_last_name": "VANCE",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "SPEECH-LANGAGE PATHOLOGIST/OWNER",
"authorized_official_telephone_number": "803-467-8596",
"authorized_official_credential": "M.A. CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "3537",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA0661",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.