Carolyn Yvonne Sullivan

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

129764 Issued in SC

Practice address

301 Hillcrest Dr
Laurens, SC 29360-2343

Phone

(864) 200-8825

Fax

(864) 984-8113

NPI assigned

Aug 11, 2016

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1669926200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HILLCREST DR",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293602343",
            "telephone_number": "864-200-8825",
            "fax_number": "864-984-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HILLCREST DR",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293602343",
            "telephone_number": "864-200-8825",
            "fax_number": "864-984-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CAROLYN",
        "middle_name": "YVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "SC",
            "license": "129764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary F Stoehr, MS,CCC-SLP
• Amy Ledford Strickland, APRN, FNP-C
• Candace L Strickland, PHARMD
• Heather Strickland, COTA/L
• Alicia Sullivan
• Sunnyside Family Dentistry LLC
• Supplemental Health Care
• Bradley Tatko, DO
• Martha Wessinger Taylor, REGISTERED PHARMACIS
• Sarah Anne Taylor, OTR/L

• Speech-Language Assistant in Laurens, SC
• Providers in Laurens, SC by specialty
• Speech-Language Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.