Katelyn Myracle, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

9701 Patriot Blvd
Ladson, SC 29456-8501

Phone

(843) 695-2979

NPI assigned

Feb 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deborah L Curlee Communication Consultants Inc

  • Speech-Language Pathologist
  • Knoxville, TN
  • NPI 1568470599
  NPD (past)

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1629436670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 WHITE CEDAR RD",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294568539",
            "telephone_number": "573-275-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 PATRIOT BLVD",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294568501",
            "telephone_number": "843-695-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRACLE",
        "first_name": "KATELYN",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "5712",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kvelasquez@dorchesterdistrict2.k12.us",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9701 Patriot Blvd",
            "city": "Ladson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294568501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caroline Moseley, PT, DPT
• Nabil Moussa, DDS
• Courtney Mueller, OTR/L
• Catherine S Murphy, PT, DPT
• Kaitlin Murphy, OTD, OTR/L
• Melissa Naborowsky
• Natalie Neely
• Kristiana D. Neff, M.D.
• Tracy Raphaela Neilan, NP
• Abbey Nicole Nelson, MS, CCC-SLP

• Speech-Language Pathologist in Ladson, SC
• Providers in Ladson, 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 Jan 4, 2023; 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.