Individual provider Active NPI

Monica Murdaugh-Nelson, CCC-SLP

  • Speech-Language Pathologist
  • Kingstree, SC
National Provider Identifier
1659316602
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1076 Issued in SC
Practice address
210 Lexington Ave
Kingstree, SC 29556-3606
Phone
(843) 355-7567
Fax
(866) 668-9946
NPI assigned
Jun 16, 2006
Last updated
Jan 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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 1076 SC Primary

Addresses

Primary practice location

210 Lexington Ave
Kingstree, SC 29556-3606

Mailing address

210 Lexington Ave
Kingstree, SC 29556-3606

Other identifiers 1

IdentifierTypeStateIssuer
SA0197MedicaidSC

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

LicenseStateTypeSpecialty
1076SCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1659316602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LEXINGTON AVE",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295563606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LEXINGTON AVE",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295563606",
            "telephone_number": "843-355-7567",
            "fax_number": "866-668-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDAUGH-NELSON",
        "first_name": "MONICA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "1076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0197",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingstree, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.