Active NPI
Katelyn Dinkowitz
- Speech-Language Pathologist
- Myrtle Beach, SC
National Provider Identifier
1699454546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8430
- Practice address
- 1304 Azalea CT Ste a
Myrtle Beach, SC 29577-5723 - Phone
- (843) 839-9494
- NPI assigned
- Jul 17, 2023
- Last updated
- Oct 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8430 | SC | Primary |
Addresses
Primary practice location
1304 Azalea CT Ste a
Myrtle Beach, SC 29577-5723
Mailing address
2147 Timmerman Rd
Myrtle Beach, SC 29588-5564
Phone (843) 286-3022
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech by the Beach Inc | Speech-Language Pathologist | Past | Accepting new patients |
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": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728777600000",
"number": "1699454546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2147 TIMMERMAN RD",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295885564",
"telephone_number": "843-286-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 AZALEA CT STE A",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775723",
"telephone_number": "843-839-9494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINKOWITZ",
"first_name": "KATELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-17",
"last_updated": "2024-10-13",
"certification_date": "2024-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "8430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.