Individual provider Active NPI

Carolyn Ruth Miller

  • Speech-Language Pathologist
  • Woodruff, SC
National Provider Identifier
1710350129
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5628 Issued in SC
Practice address
200 Lucy P Edwards Rd
Woodruff, SC 29388-8220
Phone
(864) 476-3174
NPI assigned
Nov 6, 2015
Last updated
Dec 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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 5628 SC Primary

Addresses

Primary practice location

200 Lucy P Edwards Rd
Woodruff, SC 29388-8220

Mailing address

200 Lucy P Edwards Road
Woodruff, SC 19338

Other names 1

  • Ms. Carolyn Ruth Turbeville Former name

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
5628SCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1710350129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LUCY P EDWARDS ROAD",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "19338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LUCY P EDWARDS RD",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293888220",
            "telephone_number": "864-476-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CAROLYN",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "TURBEVILLE",
            "middle_name": "RUTH",
            "prefix": "MS.",
            "credential": "MSP, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodruff, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.