Akilah Fetherson, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4532 Issued in SC

Practice address

406 W Broad St
Iva, SC 29655-9765

Phone

(864) 348-7433

NPI assigned

Dec 3, 2018

Last updated

Dec 3, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1710457791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W BROAD ST",
            "city": "IVA",
            "state": "SC",
            "postal_code": "296559765",
            "telephone_number": "864-348-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W BROAD ST",
            "city": "IVA",
            "state": "SC",
            "postal_code": "296559765",
            "telephone_number": "864-348-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETHERSON",
        "first_name": "AKILAH",
        "name_prefix": "Miss",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Cayelli, MD
• Eric Cromer, DO
• Sherrie R Dansby, APRN, DNP-C
• Tanya Danette Dickerson, RN
• Exalted Health & Rehab of Iva, LLC
• Foothills Community Health Care, Inc
• Denise D Graham, RN
• Andrea Hays, MPT, CLT, CCI
• Beth Lynn Hughes, RN
• Iva Drug Store, Inc.

• Speech-Language Pathologist in Iva, SC
• Providers in Iva, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.