Organization Active NPI

Tyke Talk, LLC

  • Speech-Language Pathologist
  • Lexington, SC
National Provider Identifier
1619105137
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3537 Issued in SC
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

Updated by the provider on Jun 23, 2009

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
SA0661MedicaidSC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.