Individual provider Active NPI

Zeneeka Crosby

  • Speech-Language Pathologist
  • Blair, SC
National Provider Identifier
1649803370
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6005 Issued in SC
Practice address
3418 State Highway 215 N
Blair, SC 29015-9629
Phone
(803) 718-4962
NPI assigned
Feb 21, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6005 SC Primary

Addresses

Primary practice location

3418 State Highway 215 N
Blair, SC 29015-9629

Mailing address

3418 State Highway 215 N
Blair, SC 29015-9629
Phone (803) 718-4962

Other identifiers 1

IdentifierTypeStateIssuer
1003348277MedicaidSC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address zeneekacrosby@icloud.com Direct All On Board Speech, LLC
Direct Messaging Address zeneekacrosby@icloud.com Direct All On Board Speech, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240624004114 SC Practitioner - Qualified Speech Language Pathologist 5799228367 Reassigns benefits to 1 organization
I20260625002395 TX Practitioner - Qualified Speech Language Pathologist 5799228367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Weston Group of South Carolina IncGroup PAC ID 2062651185, 80 clinicians
Reliant Senior Living LLCGroup PAC ID 0446754451, 117 clinicians

Practice addresses (Care Compare)

209 Broad St
Camden, SC 29020-4756
Phone (803) 272-4445

2401 Green Oak Dr
Kingwood, TX 77339-2075
Phone (281) 453-3627

872 Singleton Ridge Rd
Conway, SC 29526-1101
Phone (610) 438-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6005SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Synergy Speech-Language Pathologist CurrentSince Nov 26, 2023 Accepting new patients
The Weston Group of South Carolina Inc Speech-Language Pathologist CurrentSince May 29, 2024 Accepting new patients

Locations

872 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-3050

3736 Robert M Grissom Pkwy
Myrtle Beach, SC 29577
Phone (843) 448-9300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1649803370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 STATE HIGHWAY 215 N",
            "city": "BLAIR",
            "state": "SC",
            "postal_code": "290159629",
            "telephone_number": "803-718-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 STATE HIGHWAY 215 N",
            "city": "BLAIR",
            "state": "SC",
            "postal_code": "290159629",
            "telephone_number": "803-718-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "ZENEEKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003348277",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zeneekacrosby@icloud.com",
            "affiliation": "Y",
            "affiliationName": "All On Board Speech, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "509 Hogans Run",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292293372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zeneekacrosby@icloud.com",
            "affiliation": "Y",
            "affiliationName": "All On Board Speech, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "509 Hogans Run",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292293372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blair, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.