Organization Active NPI

Bonnie E. Smith, PHD, LLC

  • Speech-Language Pathologist
  • Aiken, SC
National Provider Identifier
1659501807
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 9201 Issued in FL
Legal business name
BONNIE E. SMITH, PHD, LLC
Practice address
143 Citadel Dr
Aiken, SC 29803-6647
Phone
(941) 769-1026
Fax
(803) 845-5438
NPI assigned
Jul 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Dr. Bonnie E. Smith, PHD
Title
Sole Member/Managing Member
Phone
(941) 769-1026

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA 9201 FL Primary
Hearing and Speech Clinic/Center 261QH0700X

Addresses

Primary practice location

143 Citadel Dr
Aiken, SC 29803-6647

Mailing address

143 Citadel Dr
Aiken, SC 29803-6647
Phone (941) 769-1026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1659501807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 CITADEL DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036647",
            "telephone_number": "941-769-1026",
            "fax_number": "803-845-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 CITADEL DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036647",
            "telephone_number": "941-769-1026",
            "fax_number": "803-845-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE E. SMITH, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "SOLE MEMBER/MANAGING MEMBER",
        "authorized_official_telephone_number": "941-769-1026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 9201",
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.