Individual provider Active NPI

Dixie Barkand, MS, CCC

  • Speech-Language Pathologist
  • Johns Island, SC
National Provider Identifier
1720084189
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3274 Issued in SC
Practice address
2770 Maybank Hwy
Ste E
Johns Island, SC 29455-4857
Phone
(843) 559-7599
Fax
(843) 559-1381
NPI assigned
Jun 21, 2005
Last updated
Feb 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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 3274 SC Primary

Addresses

Primary practice location

2770 Maybank Hwy
Ste E
Johns Island, SC 29455-4857

Mailing address

2770 Maybank Hwy
Ste E
Johns Island, SC 29455-4857
Phone (843) 559-7599

Other identifiers 1

IdentifierTypeStateIssuer
SAO517MedicaidSC

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3274SCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Care Physical Therapy 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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1720084189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 MAYBANK HWY",
            "address_2": "STE E",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554857",
            "telephone_number": "843-559-7599",
            "fax_number": "843-559-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 MAYBANK HWY",
            "address_2": "STE E",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554857",
            "telephone_number": "843-559-7599",
            "fax_number": "843-559-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKAND",
        "first_name": "DIXIE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SAO517",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.