Active NPI
Porsche' Brown Battle, M.A., CCC-SLP
- Speech-Language Pathologist
- Columbia, SC
National Provider Identifier
1619317278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4242
- Practice address
- 3604 Fernandina Rd Ste a
Columbia, SC 29210-5221 - Phone
- (843) 676-5243
- NPI assigned
- Jun 27, 2013
- Last updated
- May 14, 2019
- 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 Pathologist | 235Z00000X | 4242 | SC | Primary |
Addresses
Primary practice location
3604 Fernandina Rd Ste a
Columbia, SC 29210-5221
Mailing address
PO Box 1791
Lexington, SC 29071-1791
Phone (843) 676-5243
Other practice location 1
108 Crimson Oak Dr
Lexington, SC 29072-8179
Phone (843) 676-5243
Other practice location 2
204 Upper Wing Trail
Blythewood, SC 29016
Phone (843) 676-5243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA1435 | Medicaid | SC |
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)
- Enrolled
- Credentials
- Master of Arts
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.
-
- Speech-Language Pathologist
- Columbia, SC
- NPI 1861058224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1619317278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1791",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290711791",
"telephone_number": "843-676-5243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3604 FERNANDINA RD STE A",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292105221",
"telephone_number": "843-676-5243"
}
],
"practiceLocations": [
{
"address_1": "108 Crimson Oak Dr",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "SC",
"postal_code": "290728179",
"country_code": "US",
"telephone_number": "843-676-5243",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "204 Upper Wing Trail",
"address_purpose": "LOCATION",
"city": "Blythewood",
"state": "SC",
"postal_code": "29016",
"country_code": "US",
"telephone_number": "843-676-5243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BATTLE",
"first_name": "PORSCHE'",
"middle_name": "BROWN",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-27",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "4242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA1435",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.