Active NPI
Rebekah Dianne Degarmo White
- Speech-Language Pathologist
- Mauldin, SC
National Provider Identifier
1619347275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5744
- Practice address
- 1230 Alexander St
Mauldin, SC 29662-2413 - Phone
- (864) 438-0990
- Fax
- (864) 478-8383
- NPI assigned
- Sep 25, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 5744 | SC | Primary |
Addresses
Primary practice location
1230 Alexander St
Mauldin, SC 29662-2413
Mailing address
922 Crestmont Way
Greenville, SC 29615-5061
Phone (864) 421-4414
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 |
|---|---|---|---|
| 5744 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443139200000",
"number": "1619347275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 CRESTMONT WAY",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296155061",
"telephone_number": "864-421-4414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 ALEXANDER ST",
"city": "MAULDIN",
"state": "SC",
"postal_code": "296622413",
"telephone_number": "864-438-0990",
"fax_number": "864-478-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "REBEKAH",
"middle_name": "DIANNE DEGARMO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-25",
"last_updated": "2015-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "5744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mauldin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.