Kendra Lea Mills, MA, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP1127 Issued in SC

Practice address

316 Blackberry LN
Boiling Springs, SC 29316-7710

Phone

(864) 316-3626

NPI assigned

Sep 22, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1537574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537574400000",
    "number": "1639653983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 BLACKBERRY LN",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293167710",
            "telephone_number": "864-316-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 BLACKBERRY LN",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293167710",
            "telephone_number": "864-316-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "KENDRA",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-22",
        "last_updated": "2018-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "SLP1127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Black Physicians Group LLC
• Mary Black Physicians Group, LLC
• Roy Kinsman Mason Jr., RPH
• Elizabeth McGuire, PA
• Bradleigh Winter Mills
• Anitra Williams Mims
• David Carson Moore
• Hector Morales, DC
• MVP Staffing Solutions LLC
• Jarrell Dupree Nesmith, D.O

• Speech-Language Pathologist in Boiling Springs, SC
• Providers in Boiling Springs, 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 Sep 22, 2018; 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.