Individual provider Active NPI

Dana Lynn Agre, MS, CF-SLP

  • Speech-Language Pathologist
  • Greenville, SC
National Provider Identifier
1699371765
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.7463SPIN Issued in SC
Practice address
343 Prado Way
Greenville, SC 29607-6512
Phone
(864) 270-8647
NPI assigned
Dec 4, 2020
Last updated
Dec 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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 SLP.7463SPIN SC Primary

Addresses

Primary practice location

343 Prado Way
Greenville, SC 29607-6512

Mailing address

59 Macle CT
Travelers Rest, SC 29690-7308
Phone (601) 757-2408

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP.7463SPINSCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fundamental Communications Speech-Language Pathologist CurrentSince Sep 17, 2023 Accepting new patients

Locations

343 Prado Way
Greenville, SC 29607
Phone (864) 270-8647

Organizations & group practices 1

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": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1699371765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MACLE CT",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296907308",
            "telephone_number": "601-757-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 PRADO WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076512",
            "telephone_number": "864-270-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRE",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "credential": "MS, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "SLP.7463SPIN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.